超声评估足底筋膜炎患者的足底筋膜：系统评价。
An assessment of plantar fascia with ultrasound findings in patients with plantar fasciitis: a systematic review.
机构信息
Department of Radiological Techniques, College of Health and Medical Techniques/Baghdad, Middle Technical University, 10047, Bab Al Muadham, Baghdad, Iraq.
Department of Radiology and Imaging, Faculty of Medicine and Health Sciences, University Putra Malaysia, 43400, Serdang, Selangor, Malaysia.
出版信息
J Ultrasound. 2023 Mar;26(1):13-38. doi: 10.1007/s40477-022-00712-0. Epub 2022 Aug 30.
INTRODUCTION
Plantar fasciitis (PFS) is described by an intense pain over medial tubercle of calcaneus, increased with the first step after waking up, after rest and during weightbearing activity. It is the most common cause of plantar heel pain in adults with the prevalence estimated 10% of the general population. Ultrasound imaging is commonly being used to measure the PF thickness, evaluate the efficacy of different treatments and a guide therapeutic technique in patients with PFS. The objective of this study was to systematically review the studies that were previously published to evaluate the role of ultrasound in the assessment of PF in patients with PFS.
METHODS
A systematic search was carried out over the last 5 years from 2017 to 2022 on basis the following electronic databases: Science Direct, Scopus, Web of Science, Springer and PubMed. The keywords that used in the searching were: ultrasound, sonography, ultrasonography, plantar fasciitis, imaging of plantar fascia, physiotherapy of plantar fasciitis, interventional treatment of plantar fasciitis, randomized controlled trial of plantar fasciitis and interventional ultrasound. The review focused on the assessment of PF in patients with PFS underwent different interventions using B-mode, shear wave elastography (SWE) and color Doppler ultrasound.
RESULTS
During the search process, 1661 were recorded using the proper keywords from 2017 to 2022 in which 666 original articles were found after removing the review and duplicated articles. Of these, thirty articles met the inclusion criteria and included in this review. The articles have assessed the PF in patients with PFS under different conditions using different ultrasound modes. Twenty-six articles evaluated the effectiveness of different treatment on PF in patients with PFS using different ultrasound modes. In 8 of 26 articles, the ultrasound was used as both an assessment tool of PF and guide therapeutic technique in patients with PFS. In 18 articles, the ultrasound was used as only assessment tool to identify the PF thickness and its observation changes in patients with PFS. Four articles compared the PF thickness and its intrafascial changes between patients with PFS and healthy subjects.
CONCLUSION
The ultrasound can be a reliable tool in assessment the effect of different interventions on PF by evaluating its thickness, echogenicity and stiffness changes in patients with PFS. There were different methods and treatments were used among the studies.
简介
足底筋膜炎（PFS）的特征是跟骨内侧结节处出现剧烈疼痛，在醒来后迈出第一步、休息后和负重活动时加剧。它是成年人足底足跟疼痛最常见的原因，估计普通人群中有 10%的患病率。超声成像常用于测量 PF 厚度，评估不同治疗方法的疗效，并为 PFS 患者提供治疗技术指导。本研究旨在系统回顾以往发表的研究，以评估超声在 PFS 患者 PF 评估中的作用。
方法
我们对 2017 年至 2022 年的过去 5 年进行了系统搜索，基于以下电子数据库：Science Direct、Scopus、Web of Science、Springer 和 PubMed。搜索中使用的关键词包括：超声、超声检查、超声检查、足底筋膜炎、足底筋膜成像、足底筋膜炎物理治疗、足底筋膜炎介入治疗、足底筋膜炎随机对照试验和介入超声。本综述重点评估了使用 B 型、剪切波弹性成像（SWE）和彩色多普勒超声对不同干预措施下 PFS 患者的 PF 进行评估。
结果
在搜索过程中，使用适当的关键词从 2017 年至 2022 年记录了 1661 篇，其中去除综述和重复文章后发现了 666 篇原始文章。其中，有 30 篇文章符合纳入标准并包含在本综述中。这些文章评估了不同超声模式下 PFS 患者 PF 的不同情况。26 篇文章评估了不同超声模式下不同治疗方法对 PFS 患者 PF 的疗效。在 26 篇文章中的 8 篇中，超声既是 PFS 患者 PF 的评估工具，也是患者治疗技术的指导工具。在 18 篇文章中，超声仅用作评估工具以确定 PFS 患者的 PF 厚度及其变化。4 篇文章比较了 PFS 患者和健康受试者之间的 PF 厚度及其筋膜内变化。
结论
超声可以通过评估 PFS 患者 PF 的厚度、回声和硬度变化，成为评估不同干预措施对 PF 影响的可靠工具。研究中使用了不同的方法和治疗方法。
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