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中华老年骨科与康复电子杂志

中华老年骨科与康复电子杂志 ›› 2021, Vol. 07 ›› Issue (04) : 252 -256. doi: 10.3877/cma.j.issn.2096-0263.2021.04.009

综述

肌骨超声影像技术在冻结肩诊断及介入治疗中的应用进展
余丽娟1, 梁英2,†(), 刘文杰1, 杜一婷3, 李迎春3   
  1. 1. 030000　太原，山西医科大学
    2. 030000　太原，山西医科大学；030032　太原，山西白求恩医院康复医学科
    3. 030032　太原，山西白求恩医院康复医学科
  • 收稿日期:2020-06-22 出版日期:2021-08-05
  • 通信作者: 梁英
  • 基金资助:
    山西省重点研发计划项目(201803D31138)

Application progresses of musculoskeletal ultrasound in the diagnosis and interventional treatment of frozen shoulder

Lijuan Yu1, Ying Liang2,†(), Wenjie Liu1, Yiting Du3, Yingchun Li3   

  1. 1. Shanxi Medical University, Taiyuan 030000, China
    2. Shanxi Medical University, Taiyuan 030000, China; Department of Rehabilitation, Shanxi Bethune Hospital, Taiyuan 030032, China
    3. Department of Rehabilitation, Shanxi Bethune Hospital, Taiyuan 030032, China
  • Received:2020-06-22 Published:2021-08-05
  • Corresponding author: Ying Liang
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余丽娟, 梁英, 刘文杰, 杜一婷, 李迎春. 肌骨超声影像技术在冻结肩诊断及介入治疗中的应用进展[J]. 中华老年骨科与康复电子杂志, 2021, 07(04): 252-256.

Lijuan Yu, Ying Liang, Wenjie Liu, Yiting Du, Yingchun Li. Application progresses of musculoskeletal ultrasound in the diagnosis and interventional treatment of frozen shoulder[J]. Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition), 2021, 07(04): 252-256.

冻结肩（FS）是中老年人群常见的肩部疾患，以肩周疼痛和肩关节活动度进行性丧失为主要表现。近年来随着超声技术的不断精进，其对冻结肩的早期诊断及个体化方案制定具有重要价值。本文通过回顾文献，着重阐述了超声在冻结肩诊断评估及精确定位，超声引导下积液抽吸与药物注射、关节造影扩张、针刀松解、内热针治疗及神经阻滞等方面的应用现状，概括了介入治疗的注意事项，并对其研究前景进行展望。

关键词: 超声检查, 介入性, 冻结肩, 综述

Frozen Shoulder (FS) is a common shoulder disease in middle-aged and older people, mainly manifested by peri-shoulder pain and progressive loss of shoulder range of motion. In recent years, with the continuous improvement of ultrasound technology, it is of great value to the early diagnosis of frozen shoulder and the formulation of individual programs. By reviewing pieces of literature, this paper mainly expounds the ultrasound in the evaluation of frozen shoulder diagnosis and precise positioning, under the guidance of ultrasound effusion suction and drug injection, joints distension, arthrography, internal heat needle, acupotome therapy, and the present situation of the application of nerve block, and so forth. This paper also summarizes the precautions of interventional therapy and looks forward to its research prospects.

Key words: Ultrasound examination, Interventional, Frozen shoulder, Review
图3 超声引导下肩峰下滑囊注射图（长箭头示肩峰下滑囊进针路径及靶点位置，五角星示肩峰下滑囊积液）
图9 超声引导下肩胛上神经介入治疗图（长箭头示肩胛上神经阻滞与射频治疗进针路径及靶点位置）
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