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中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (04) : 289 -294. doi: 10.3877/cma.j.issn.1672-6448.2022.04.001

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欧洲肌骨放射学会《影像学引导肩部病变介入治疗专家共识》解读
王月香1,()   
  1. 1. 100853 北京,解放军总医院第一医学中心超声科
  • 收稿日期:2021-09-30 出版日期:2022-04-01
  • 通信作者: 王月香

Interpretation of Expert Consensus on Image-guided Interventional Treatment of Shoulder Diseases issued by the European Society of Musculoskeletal Radiology

Yuexiang Wang1()   

  • Received:2021-09-30 Published:2022-04-01
  • Corresponding author: Yuexiang Wang
引用本文:

王月香. 欧洲肌骨放射学会《影像学引导肩部病变介入治疗专家共识》解读[J]. 中华医学超声杂志(电子版), 2022, 19(04): 289-294.

Yuexiang Wang. Interpretation of Expert Consensus on Image-guided Interventional Treatment of Shoulder Diseases issued by the European Society of Musculoskeletal Radiology[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(04): 289-294.

图1 超声引导下肩后部肩关节腔注射。图a显示将穿刺针(箭头所示)刺入肩后部肩关节腔内;图b显示于肩关节腔内注入药液后显示肩关节腔扩张(箭头所示)注:HH为肱骨头
图2 超声引导下经肩袖间隙肩关节腔注射。图a显示穿刺针刺入右侧肩袖间隙处肱二头肌长头肌腱(箭头所示)与关节囊之间;图b显示穿刺结束后,于肩后部扫查可见肩后部关节隐窝扩张(箭头所示)注:HH为肱骨头;G为关节盂
图3 超声引导肩袖钙化灶穿刺抽吸灌洗治疗。图a为右侧冈上肌腱短轴切面显示肌腱内较大钙化灶(箭头所示),其内结构较为疏松;图b显示超声引导下将18G穿刺针刺入钙化灶内;图c显示肩袖钙化灶的穿刺灌洗液呈白色浑浊液体
图4 冈上肌腱部分撕裂超声引导富血小板血浆(PRP)注射治疗。图a为纵切面显示右侧冈上肌腱远端部分撕裂,可见不规则无回声区(箭头所示);图b为超声引导下将21G穿刺针(箭头所示)刺入冈上肌腱撕裂处注射PRP 1 ml,再将穿刺针退至三角肌下滑囊内注射PRP 5 ml注:GT为肱骨大结节
图5 超声引导肩峰下-三角肌下滑囊注射。图a为超声引导将21G PTC针(箭头所示)刺入三角肌下滑囊内注入药物;图b显示注入药液后,可见肩峰下-三角肌下滑囊扩张(箭头所示)注:GT为肱骨大结节;SS为冈上肌腱
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