【摘要】：目的:分析超聲圖像特征,比較肩峰下滑囊厚度�？偨Y(jié)水球運動員肩部損傷規(guī)律,探討超聲診斷技術(shù)在評估運動員肩部健康狀況以及排查、預防、治療肩部傷病等方面的實用價值。方法:募集成都體育學院附屬競技體校女子水球隊運動員。進行肩部超聲檢查,測量肩峰下滑囊厚度。依據(jù)檢查結(jié)果將各單側(cè)肩關(guān)節(jié)劃分為有癥狀組與無癥狀組。募集非運動員的健康普通人優(yōu)勢側(cè)肩50例作對照組。分析超聲圖像特征,采用T檢驗比較肩峰下滑囊厚度差異。結(jié)果:24名運動員納入研究,48例樣本肩關(guān)節(jié)中,30例未查出異常,18例查出損傷癥狀,診斷肩關(guān)節(jié)局部損傷,水球運動員肩關(guān)節(jié)損傷率為37.5%。18例損傷肩中查出各型傷病24例,含肩峰下滑囊炎癥17例;肱二頭肌長頭腱鞘炎癥5例;岡上肌腱炎癥1例;三角肌撕裂傷1例;另查出肩關(guān)節(jié)疑似損傷5例。測得運動員左側(cè)肩峰下滑囊平均厚度2.58±0.58mm,右側(cè)肩峰下滑囊平均厚度2.40±0.44mm。差異無統(tǒng)計學意義(P=0.178)。運動員有癥狀組肩峰下滑囊平均厚度2.93±0.42mm,運動員無癥狀組肩峰下滑囊平均厚度2.21±0.36mm,差異具有統(tǒng)計學意義(P0.01)。運動員有癥狀組肩峰下滑囊厚度明顯大于無癥狀組。對照組肩峰下滑囊平均厚度1.94±0.28mm,運動員有癥狀組肩峰下滑囊厚度均數(shù)與對照組比較,差異具有統(tǒng)計學意義(P0.01);運動員無癥狀組肩峰下滑囊厚度均數(shù)與對照組比較,差異具有統(tǒng)計學意義(P0.01)。與健康普通人相比,水球運動員肩峰下滑囊厚度明顯偏大。結(jié)論:1、成都體育學院附屬競技體校女子水球隊運動員48例肩關(guān)節(jié)中,18例患肩關(guān)節(jié)局部損傷,患病率37.5%,建議盡快采取防治措施。2、水球運動員肩關(guān)節(jié)超聲圖像具有群體特征。表現(xiàn)為肩峰下滑囊厚度較健康普通人偏大,滑囊損傷多表現(xiàn)為厚度增加和積液;肩袖肌腱狀況總體良好;肱二頭肌長頭腱狀況總體良好;但存在疑似損傷病例。3、超聲診斷技術(shù)具有獨特優(yōu)勢。能夠深入運動隊駐地完成檢查任務(wù),體現(xiàn)了超聲診斷準確可靠、方便快捷的特點。通過超聲檢查診斷了既有損傷,排查和鑒別了疑似損傷。超聲診斷技術(shù)在運動員損傷排查方面,以及指導治療和預防損傷方面具有實用價值。建議推廣使用超聲診斷技術(shù)排查運動損傷的方法。
[Abstract]:Objective: to analyze the characteristics of ultrasound images and compare the thickness of subacromial bursa. This paper summarizes the law of shoulder injury of water polo players, and probes into the practical value of ultrasonic diagnosis technology in evaluating the shoulder health status of water polo athletes, as well as in the investigation, prevention and treatment of shoulder injuries. Methods: the female water polo team athletes of Chengdu Institute of physical Education were recruited. The thickness of subacromial bursa was measured by shoulder ultrasound. According to the results of examination, each unilateral shoulder joint was divided into symptomatic group and asymptomatic group. 50 healthy ordinary people who recruited non-athletes had the advantage of lateral shoulder as the control group. The ultrasonic image features were analyzed and T test was used to compare the thickness difference of subacromial bursa. Results: 24 athletes were included in the study. Of the 48 samples of shoulder joint, 30 cases were not abnormal, 18 cases were found injury symptoms, and the local injury of shoulder joint was diagnosed. The injury rate of shoulder joint of water polo athletes was 37.5%. Among 18 cases of shoulder injury, 24 cases were found to be injured and 17 cases were included subacromial bursa inflammation. There were 5 cases of long head tendon sheath inflammation of biceps brachii muscle, 1 case of supraspinous tendon inflammation, 1 case of deltoid muscle laceration, and 5 cases of suspected shoulder joint injury. The average thickness of the left subacromial bursa was 2.58 鹵0.58mm, and that of the right subacromial bursa was 2.40 鹵0.44mm. There was no significant difference (P 鈮，

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