肘关节周围滑液囊病变的超声诊断

目的：阐述肘关节周围滑液囊病变的声像图表现,探讨超声检查对肘关节周围滑液囊病变的诊断价值。方法对26例疑似肘关节周围滑液囊病变患者的肘关节进行超声检查,观察滑液囊是否增大及增大的滑液囊的大小、形态、囊壁及囊内回声等特征,并与对侧关节对比。结果鹰嘴皮下滑液囊病变19例,肱三头肌腱下囊病变2例,肱桡滑液囊病变5例。结论超声对肘关节周围滑液囊病变的诊断简便、快捷,同时还可对肘关节周围肌腱附着点病变及关节囊内病变作出鉴别诊断。

Ultrasound Diagnosis of Synovial Bursa Lesions Around Elbow Joints

Objective To expound the ultrasonographic manifestation of synovial bursa lesions around elbow joints, and explore the diagnostic value of ultrasound.Methods The elbow joints of 26 patients with suspected synovial bursa lesions were examined by ultrasound. Whether the synovial bursa was enlarged as well as the size, morphology, capsule wall and the echo inside the capsule of the enlarged synovial bursa were observed and compared with those of contralateral joints.Results 19 cases were determined as olecranon subcutaneous synovial bursa lesions and 2 cases were determined as triceps tendon synovial bursa lesions as well as 5 cases were determined as humerus radial synovial bursa lesions.Conclusion Ultrasonography not only can diagnose the synovial bursa lesions around elbow joints fast and conveniently, but also can diagnose lesions of tendon insertion sites around elbow joints as well as lesions in the joint capsule.