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肌肉骨骼即时超声在家庭医疗中的实用性和可靠性(1):膝关节、肩关节和起止点

[Usefulness and reliabitlity of musculoskeletal point of care ultrasound in family practice (1): Knee, shoulder and enthesis].

作者信息

Sánchez Barrancos Ignacio Manuel, Ruiz Serrano Antonio Lorenzo, González Santisteban Roberto, Manso García Susana, Hernández Rodríguez Trinidad, Lozano Gago Pedro, Conangla Ferrín Laura

机构信息

Especialidad en Medicina Familiar y Comunitaria; Grupo de Trabajo de Ecografía de la Sociedad Española de Medicina Familiar y Comunitaria; Consultorio local de Membrilla, Centro de Salud Manzanares 2, Gerencia de Atención Integrada de Manzanares, Ciudad Real, España.

Especialidad en Medicina Familiar y Comunitaria; Grupo de Trabajo de Ecografía de la Sociedad Española de Medicina Familiar y Comunitaria; Centro de Salud Ciudad Real 3, Gerencia de Atención Integrada de Ciudad Real, Ciudad Real, España.

出版信息

Aten Primaria. 2018 Dec;50(10):629-643. doi: 10.1016/j.aprim.2018.07.010. Epub 2018 Nov 2.

Abstract

Musculoskeletal ultrasound (MSU) is a technique which has been extended to practically all medical specialties that comprise this pathology. Family Doctor (FD) has not been away from this process due to its great wide of competences, using it in different scenarios inside his common practice in which he can get profits in a reliable, efficient and effective way. Ultrasound equipment incorporation in Primary Care (PC) centers is an increasing reality, contributing to high ranges of accessibility, immediacy and clinic handle capability, and thus, together with the high prevalence in this area in locomotor apparatus, turns MSU into an strategic action for the improvement of the resolving capacity and consequently for the health care. To ensure proficiency among users, it's being necessary to define the benefits and potential risks its use can cause, as well as its different scenarios, avoiding unnecessary explorations and optimizing the investment of this resource at PC level. This paper pretends to summarize the state of the art of the musculoskeletal ultrasound and its benefits for the FD into this efficient and effective scenarios.

摘要

肌肉骨骼超声(MSU)是一种已被应用于几乎所有涉及该病理学的医学专业的技术。家庭医生(FD)因其广泛的能力范围也参与到了这一进程中,在其日常诊疗的不同场景中使用该技术,从而能够以可靠、高效且有效的方式从中获益。超声设备在基层医疗(PC)中心的应用日益普遍,这有助于提高可及性、即时性和临床处理能力,因此,鉴于运动系统在该领域的高患病率,肌肉骨骼超声成为提高诊断能力进而改善医疗保健的一项战略举措。为确保使用者的专业水平,有必要明确其使用可能带来的益处和潜在风险,以及不同的应用场景,避免不必要的检查,并在基层医疗层面优化该资源的投入。本文旨在总结肌肉骨骼超声的现状及其在这些高效有效场景中为家庭医生带来的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e646/6836887/719b3b7fbd4e/gr1.jpg

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