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实时剪切波弹性成像技术评估脑卒中后下肢肌张力的研究

郭云怀 马力 李忠举 吴宏 高博 周苏晋

中国现代医学杂志2017,Vol.27Issue(24):81-84,4.
中国现代医学杂志2017,Vol.27Issue(24):81-84,4.DOI:10.3969/j.issn.1005-8982.2017.24.017

实时剪切波弹性成像技术评估脑卒中后下肢肌张力的研究

Study of real-time shear wave elastography in evaluating the lower limb muscle tension after stroke

郭云怀 1马力 1李忠举 1吴宏 2高博 1周苏晋1

作者信息

  • 1. 广东省第二人民医院 超声科,广东 广州 510317
  • 2. 广东省第二人民医院 神经内科,广东广州 510317
  • 折叠

摘要

Abstract

Objective To explore the feasibility of real-time shear wave elastography (SWE) in evaluating the muscle tension of patients with lower limb spasticity after stroke. Methods A total of 30 patients with lower limb spastic hemiplegia after stroke (case group) and 30 healthy volunteers (control group) were selected. The Young's moduli of the patients' gastrocnemius muscle in both sides and volunteers' right gastrocnemius muscle were measured by SWE. Results In prone position, the average Young's moduli of the gastrocnemius muscle in the pathological side of the case group, contralateral side of the case group, and right gastrocnemius of the control group were (62.28 ± 19.22) kPa, (22.47 ± 7.42) kPa and (20.47 ± 2.47) kPa, respectively. In supine position, the average Young's moduli of the gastrocnemius muscle in the pathological side of the case group, contralateral side of the case group, and right gastrocnemius of the control group were (62.44 ± 18.49) kPa, (21.10 ± 2.28) kPa and (20.17 ± 2.13) kPa, respectively. The mean young's moduli of the gastrocnemius muscle in the pathological side of the case group were higher than those in the contralateral side of the case group and right gastrocnemius of the control group ( P< 0.05). Conclusions SWE can quantitatively assess the stiffness variation of the spasticity muscle and evaluate the change of muscle tension, which can direct clinical treatment.

关键词

实时剪切波成像技术/脑卒中/肌痉挛

Key words

shear wave elastography/stroke/spasticity

分类

医药卫生

引用本文复制引用

郭云怀,马力,李忠举,吴宏,高博,周苏晋..实时剪切波弹性成像技术评估脑卒中后下肢肌张力的研究[J].中国现代医学杂志,2017,27(24):81-84,4.

基金项目

广东省医学科研基金(No:A2016299) (No:A2016299)

中国现代医学杂志

OACSTPCD

1005-8982

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