切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2019, Vol. 16 ›› Issue (12) : 910 -914. doi: 10.3877/cma.j.issn.1672-6448.2019.12.005

所属专题: 总编推荐 文献 指南共识

专家共识

训练伤超声可视化治疗专家共识
国家卫健委能力建设和继续教育超声专科专家委员会, 中国医学装备协会应急救治装备分会, 中国医学装备协会超声装备技术分会战创伤与急症超声专业委员会和远程及移动超声专业委员会   
  • 收稿日期:2019-11-04 出版日期:2019-12-01

Expert consensus on application of remote ultrasonic technology

National Health Commission Capacity Building and Continuing Education Center, Emergency Rescue and Treatment Equipment Branch of China Association of Medical Equipment, Ultrasound Equipment Technology Branch of China Association of Medical Equipment   

  • Received:2019-11-04 Published:2019-12-01
引用本文:

国家卫健委能力建设和继续教育超声专科专家委员会, 中国医学装备协会应急救治装备分会, 中国医学装备协会超声装备技术分会战创伤与急症超声专业委员会和远程及移动超声专业委员会. 训练伤超声可视化治疗专家共识[J]. 中华医学超声杂志(电子版), 2019, 16(12): 910-914.

National Health Commission Capacity Building and Continuing Education Center, Emergency Rescue and Treatment Equipment Branch of China Association of Medical Equipment, Ultrasound Equipment Technology Branch of China Association of Medical Equipment. Expert consensus on application of remote ultrasonic technology[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2019, 16(12): 910-914.

图1 创伤性腱鞘囊肿、关节腔积液、肌肉血肿或滑膜囊肿的超声引导下微创治疗。图a为超声探头置于关节病变处行多切面连续性扫查;图b为囊肿或积液超声声像图表现;图c为进行超声引导下抽吸,当积液较黏稠难以抽出时,可用等量0.9%氯化钠溶液反复抽吸(箭头所示)
图2 肢体关节血肿的超声引导下抽吸治疗。图a为超声探头置于肘关节处扫查关节腔内积血;图b为二维超声显示肘关节处积血(白色箭头所示);图c为抽出的关节腔内积血
图3 急性关节损伤伴腱鞘积液的超声引导下抽吸治疗。图a为超声探头置于创伤肢体关节处,多切面观察肌腱及腱鞘;图b为超声显示腱鞘内的无回声区(游标测量所示);图c为超声引导下抽出积液后腱鞘内无回声区消失;图d为抽出腱鞘积液0.5 ml
图4 创伤性假性动脉瘤的超声引导下微创治疗。图a为超声探头在创伤动脉搏动性肿块处多切面、连续性扫查;图b为创伤动脉旁的囊性结构(假性动脉瘤瘤体);图c为彩色多普勒显示囊性结构及创伤动脉的血流,确定假性动脉瘤及瘤颈(白色箭头所示);图d为频谱多普勒显示瘤颈处的双向高速血流频谱
图5 肢体肌腱、韧带部分撕裂伤的超声引导下局部注药治疗。图a为肩袖损伤时行超声引导下穿刺;图b为肌腱部分撕裂时,超声显示肌腱肿胀,腱体内可见低回声区;图c为超声引导下将药物注射至三角肌下滑囊内
图6 肌腱、韧带或肌肉损伤的超声引导下自体富含血小板血浆(PRP)治疗。图a为网球肘超声引导下穿刺注药;图b为左侧肘关节伸肌总腱肿胀伴血流信号增多;图c为超声引导下,穿刺针直入伸肌总腱旁,多点注射利多卡因;图d为超声引导下,穿刺针直入伸肌总腱腱体内进行多点再针刺;图e为超声引导下,在损伤的腱体内多点注射自体PRP
图7 创伤后关节、肌腱、韧带或肌肉术后的超声引导下自体富含血小板血浆(PRP)治疗。图a为损伤肌肉手术部位可见不均质低回声区,彩色多普勒血流显示其内未见血流信号;图b为超声引导下多点注射利多卡因注射液;图c为超声引导下多点注射自体PRP
图8 创伤后超声引导下软组织异物取出。图a为超声显示条带状强回声为软组织内异物(箭头所示);图b为超声引导下穿刺定位;图c为穿刺细针在超声引导下穿刺至异物表面定位(箭头所示);图d为软组织内取出的异物
[1]
孙艳丹,王银,邹晓娟. 便携式高频超声在军事训练急性软组织损伤中的应用研究[J]. 医疗卫生装备, 2016, 37(12): 85-87.
[2]
李单,黄开浪,汪贱民, 等. 新兵学历不同对军事训练伤的影响[J]. 临床军医杂志, 2012, 40(2): 406-415.
[3]
张鸿,包宝. 军事训练伤常见致伤因素分析与对策探讨[J]. 人民军医, 2015, 58(9): 1015-1020.
[4]
Lisman P, O′Connor FG, Deuster PA, et al. Functional movement screen and aerobic fitness predict injuries in military training [J]. Med Sci Sports Exerc, 2013, 45(4): 636-643.
[5]
郝楠,易蕊,游宇, 等. 健康管理干预在特种部队军事训练伤中的效果分析[J]. 解放军医院管理杂志, 2015, 22(9): 861-863.
[6]
Wyss T, Roos L, Hofstetter MC, et al. Impact of training patterns on injury incidences in 12 Swiss army basic military training schools [J]. Military Medicine, 2014, 179(1): 49-55.
[7]
Magni-Manzoni S. Ultrasound in juvenile idiopathic arthritis [J]. Pediatr Rheumatol,2016, 14(1): 33.
[8]
Schoder M, Prokop M, Lammer. Traumatic injuries: imaging and intervention of large arterial trauma [J]. Eur Radiol, 2002, 12(7): 1617-1631.
[9]
郭瑞军. 肌肉骨骼系统超声学[M]. 北京: 人民卫生出版社, 2008: 296.
[10]
Rehmani R, Endo Y, Bauman P, et al. Lower extremity injury patterns in elite ballet dancers:ultrasound/MRI imaging features and an institutional overview of therapeutic ultrasound guided percutaneous interventions [J]. HSS J,2015, 11(3): 258-277.
[11]
Holleyman RJ, Husaini H, Rankin KS. Image guided surgery for removal of deep foreign bodies and soft tissue tumours using portable ultrasonography [J]. Ann R Coll Surg Engl, 2019, 101(2): 136-137.
No related articles found!
阅读次数
全文


摘要