高频超声检查在小儿杜氏型肌营养不良中的辅助诊断价值

施燕蓉,刘晓青,戴红,陆殿元,倪俊毅,李西华

中国当代儿科杂志 ›› 2012, Vol. 14 ›› Issue (07) : 533-535.

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PDF(1334 KB)
中国当代儿科杂志 ›› 2012, Vol. 14 ›› Issue (07) : 533-535.
论著·临床研究

高频超声检查在小儿杜氏型肌营养不良中的辅助诊断价值

  • 施燕蓉,刘晓青,戴红,陆殿元,倪俊毅,李西华
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The value of high-frequency ultrasound in the diagnosis of duchenne muscular dystrophy in children

  • SHI Yan-Rong, LIU Xiao-Qing, DAI Hong, LU Dian-Yuan, NI Jun-Yi, LI Xi-Hua
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文章历史 +

摘要

目的:探讨高频超声在小儿杜氏型肌营养不良(DMD)疾病中的辅助诊断价值。方法:将8例DMD患儿作为DMD组,10例健康儿童作为对照组,用高频超声检测所有研究对象的股直肌肌肉回声及腓肠肌与比目鱼肌间隔。结果:与对照组相比,DMD组股直肌及腓肠肌回声增强,且肌肉纤维排列紊乱,两侧腓肠肌与比目鱼肌的间隔均明显增宽(P<0.05)。结论:使用高频超声检测肌肉形态的变化可为DMD的诊断提供依据。

Abstract

OBJECTIVE: To study the value of high-frequency ultrasound in the diagnosis of duchenne muscular dystrophy diseases (DMD) in children. METHODS: Eight children with DMD were enrolled as DMD group and 10 healthy children as the control group. The echogenicity of the rectus femoris muscle and the gap between the gastrocnemius and soleus muscles in the two groups were detected by high-frequency ultrasound. RESULTS: Compared with the control group, rectus femoris and gastrocnemius muscles in the DMD group showed increased echogenicity and their muscle fibers were arranged irregularly, and the gap between the gastrocnemius and soleus muscles became wilder (P<0.01). CONCLUSIONS: High-frequency ultrasound is valuable in the diagnosis of DMD.

关键词

杜氏型肌营养不良 / 超声 / 儿童

Key words

Duchenne muscular dystrophy / Echocardiography / Child

引用本文

导出引用
施燕蓉,刘晓青,戴红,陆殿元,倪俊毅,李西华. 高频超声检查在小儿杜氏型肌营养不良中的辅助诊断价值[J]. 中国当代儿科杂志. 2012, 14(07): 533-535
SHI Yan-Rong, LIU Xiao-Qing, DAI Hong, LU Dian-Yuan, NI Jun-Yi, LI Xi-Hua. The value of high-frequency ultrasound in the diagnosis of duchenne muscular dystrophy in children[J]. Chinese Journal of Contemporary Pediatrics. 2012, 14(07): 533-535
中图分类号: R746   

参考文献

[1]沈定国. 肌肉疾病[M]. 北京:人民军医出版社,2007:214-218.

[2]吴世文,马维娅译. 临床肌肉病理学[M]. 第3版.北京:人民军医出版社,2007:40-50.

[3]李西华,赵蕾,吴燕,吴洁,何大可,刘晓青. 神经源性一氧化氮合酶对临床疑似Becker型肌营养不良的诊断意义[J].中国当代儿科杂志,2011,13(4):288-291.

[4]Lovitt S, Moore SL, Marden FA. The use of  MRI in the evaluation of myopathy[J]. Clin Neurophtsiol, 2006, 117(3): 486-495.

[5]张彬彬,刘晶瑶. Duchenne 型肌营养不良的研究进展[J].中风与神经疾病杂志, 2011,28(2):187-189.

[6]陈金亮,周顺林,李建军,狄淑珍,马文龙,侯小晋.应用高频超声检测81例Duchenne 进行性肌营养不良症患者下肢肌肉[J].中华超声影像学杂志,2003,12(9):548-551.

[7]Pillen S, Arts IM, Zwarts MJ. Muscle ultrasound in neuromuscular disorders[J]. Mus Nerve, 2008, 37(6): 679-693.

[8]傅晓红,刘淼,沈燕,朱竹青,王强. 灰阶超声和超声弹性成像对比及联合诊断多发性肌炎﹑皮肌炎的探索[J]. 中国临床医学影像杂志,2011,22(7):518-520.

[9]马湛. 高频超声在骨化性肌炎诊断中的应用[J]. 河南科技大学学报(医学版),2010,28(3):211-215.

[10]Maurits NM, Beenakker EA, van schaik DE, Fock JM, Van der Hoeven JH. Muscle ultrasound in children: normal values and application to neuromuscular disorders[J]. Ultrasound Med Biol, 2004, 30(8): 1017-1027.

[11]Zaidman CM, Connolly AM, Malkus EC, Florence JM, Pestronk A. Quantitative ultrasound using backscatter analysis in Duchenne and Becker muscular dystrophy[J]. Neuromuscul Disord, 2010, 20(12): 805-809.

[12]Escolar DM, Hache LP, Clemens PR, Cnaan A, McDonald CM, Viswanathan V, et al. Randomized, blinded trial of weekend vs daily prednisone in Duchenne muscular dystrophy[J]. Neurology, 2011, 77(5): 444-452.

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