中国骨伤2025，Vol.38Issue(11)：1126-1132,7.DOI:10.12200/j.issn.1003-0034.20240987
基于剪切波弹性成像技术的颈性眩晕枕后肌群影像学分析
Imaging analysis of the posterior occipital muscles in cervical vertigo based on shear wave elastography
摘要
Abstract
Objective To evaluate the partial biomechanical properties of the posterior occipital muscles(rectus capitis posterior major,rectus capitis posterior minor,and obliquus capitis inferior)in patients with cervical vertigo.Methods A total of 30 patients with cervical vertigo admitted from April 2024 to September 2024 were included in the vertigo group,and 30 age-and gender-matched healthy subjects were recruited as the normal group.In the vertigo group,there were 21 females and 9 males,with an average age of(24.00±2.25)years;in the normal group,there were 22 females and 8 males,with an average age of(23.00±3.00)years.Shear wave elastography was used to measure the thickness and stiffness of the posterior occipital mus-cles in both groups.Results In the vertigo group,there were no statistically significant differences in the Young's modulus val-ues(E)of stiffness of the posterior occipital muscles(rectus capitis posterior major,rectus capitis posterior minor,obliquus capitis inferior)between the left and right sides(P＞0.05).The Young's modulus values(E)of stiffness of the right posterior oc-cipital muscles(rectus capitis posterior major,rectus capitis posterior minor,obliquus capitis inferior)in the cervical vertigo group were(39.66±8.21)kPa,(45.61±5.85)kPa,and(43.73±5.22)kPa,respectively,which were significantly higher than those in the normal group 33.97(17.76)kPa,41.38(8.99)kPa,38.27(12.58)kPa,with statistically significant differences(P＜0.05).In the vertigo group,the Young's modulus values(E)of stiffness of the left rectus capitis posterior major and left obliqu-us capitis inferior were(40.41±9.13)kPa and(42.11±6.20)kPa,respectively,which were significantly greater than those in the normal group(33.30±11.31)kPa,38.94(14.62)kPa,with statistically significant differences(P＜0.05);however,there was no statistically significant difference in the left rectus capitis posterior minor between the two groups(P＞0.05).In the vertigo group,there were no statistically significant differences in the stiffness of the posterior occipital muscles(rectus capitis posteri-or major,rectus capitis posterior minor,obliquus capitis inferior)between the left and right sides(P＞0.05).Additionally,there were no statistically significant differences in the thickness of the bilateral posterior occipital muscles between the vertigo group and the normal group(P＞0.05).Conclusion The posterior occipital muscles of patients with cervical vertigo are stiffer than those of healthy individuals,while there is no significant difference in muscle thickness between the two groups.关键词
颈性眩晕/枕后肌群/剪切波弹性成像/硬度/厚度Key words
Cervical vertigo/Occipital posterior muscle group/Shear wave elastic imaging/Stiffness/Thickness分类
医药卫生引用本文复制引用
潘英森,沈羿,覃飞鹏,张浩阳,刘闹,徐艳军,应晓明..基于剪切波弹性成像技术的颈性眩晕枕后肌群影像学分析[J].中国骨伤,2025,38(11):1126-1132,7.基金项目
2022年浙江省中医药科技计划项目(编号:2022ZA088)2022 Zhejiang Traditional Chinese Medicine Science and Technology Program(No.2022ZA088) （编号:2022ZA088）
