肌筋膜疼痛综合征的影像学研究进展

肌筋膜疼痛综合征(MPS)是以肌筋膜激痛点(MTrPs)的存在为特征的一种常见骨骼肌疼痛及功能障碍疾病.目前临床上对该病的诊断主要依靠触诊,激痛点定位信度较低,且临床治疗效果评估也缺乏客观手段.因此,对MPS特征的客观化研究成为热点,已开展的研究手段包括超声成像、磁共振成像及红外热像等,主要从激痛点的硬度、筋膜厚度、激痛点位置的表面温度等方面进行研究.综述了MPS在影像学方面的研究进展及研究方法,旨在为该病种的临床诊断及疗效评估客观化提供依据.

Research progress on imageology of myofascial pain syndrome

Myofascial pain syndrome (MPS) is a common skeletal muscle pain and dysfunction,characterized by the presence of myofascial pain points (MTrPs).At present,the main method of locating MTrPs is palpation which has lower intra-rater reliability,and lacks an objective evaluation approach for therapeutic effects.Therefore,the research on objective evaluation of the characteristics of MPS has been receiving great attention.These studies involve stiffness of trigger points,fascia thickness,surface temperature and other aspects through various methods,such as ultrasonic imaging,magnetic resonance imaging,infrared thermal imaging.In this paper,the research progress and methods of MPS in imaging were surveyed,which can provide the basis for the clinical diagnosis and objective evaluation of therapeutic effects.