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高频超声在肩胛舌骨肌综合征中的诊断价值。

Diagnostic value of high-frequency ultrasound in omohyoid muscle syndrome.

机构信息

Department of Ultrasound, Shandong Provincial Hospital Affiliated to Shandong First Medical University, No. 324, Jingwu Road, Jinan, 250021, Shandong, China.

出版信息

J Med Ultrason (2001). 2024 Apr;51(2):341-345. doi: 10.1007/s10396-023-01407-7. Epub 2024 Jan 31.

DOI:10.1007/s10396-023-01407-7
PMID:38296891
Abstract

PURPOSE

To investigate the diagnostic value of high-frequency ultrasound in omohyoid muscle syndrome.

MATERIAL AND METHODS

A retrospective analysis of 11 patients diagnosed with omohyoid muscle syndrome was carried out, and the characteristics of high-frequency ultrasound images were summarized.

RESULTS

Ultrasonography of the omohyoid muscle showed a narrow band of hypoechoic muscle bundle. The ultrasonographic manifestation of omohyoid muscle syndrome showed a thickening of the omohyoid muscle on the affected side. The omohyoid muscle on the affected side bulged forward during swallowing and lifted the overlying sternocleidomastoid muscle. The difference between the thickness of the omohyoid muscle intermediate tendon on the affected side and the healthy side at rest was statistically significant (t = 58.23, P < 0.001). The difference between the thickness of the affected omohyoid muscle intermediate tendon at rest and during swallowing was statistically significant (t = 14.57, P < 0.001). There was no statistically significant difference between the thickness of the omohyoid muscle intermediate tendon on the healthy side at rest and during swallowing (t = 0.56, P > 0.05).

CONCLUSION

High-frequency ultrasound is the preferred imaging method in the diagnosis of omohyoid muscle syndrome.

摘要

目的

探讨高频超声在肩胛舌骨肌综合征中的诊断价值。

材料与方法

回顾性分析 11 例肩胛舌骨肌综合征患者,总结高频超声图像特征。

结果

高频超声显示肩胛舌骨肌呈低回声束状狭窄带。肩胛舌骨肌综合征的超声表现为患侧肩胛舌骨肌增厚,吞咽时下颌舌骨肌向前隆起,上方的胸锁乳突肌抬起。患侧肩胛舌骨肌中间腱在休息和吞咽时的厚度差异有统计学意义(t=58.23,P<0.001)。患侧肩胛舌骨肌中间腱在休息和吞咽时的厚度差异有统计学意义(t=14.57,P<0.001)。健侧肩胛舌骨肌中间腱在休息和吞咽时的厚度差异无统计学意义(t=0.56,P>0.05)。

结论

高频超声是诊断肩胛舌骨肌综合征的首选影像学方法。

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本文引用的文献

1
Five-headed superior omohyoid.五头肩胛舌骨肌。
Folia Morphol (Warsz). 2023;82(4):975-979. doi: 10.5603/FM.a2022.0091. Epub 2022 Nov 17.
2
A Systematic Review of the Omohyoid Muscle Syndrome (OMS): Clinical Presentation, Diagnosis, and Treatment Options.一项关于肋锁综合征(OMS)的系统评价:临床特征、诊断和治疗选择。
Ann Otol Rhinol Laryngol. 2021 Oct;130(10):1181-1189. doi: 10.1177/0003489421995037. Epub 2021 Feb 25.
3
Theory and practice of laparoscopic surgery against omohyoid muscle syndrome.腹腔镜手术治疗肩胛舌骨肌综合征的理论与实践
Intractable Rare Dis Res. 2017 Aug;6(3):199-202. doi: 10.5582/irdr.2017.01050.
4
Omohyoid Muscle Syndrome in a Mixed Martial Arts Athlete: A Case Report.一名综合格斗运动员的肩胛舌骨肌综合征:病例报告
Sports Health. 2015 Sep-Oct;7(5):458-62. doi: 10.1177/1941738114532225. Epub 2014 Apr 23.
5
Endoscopic Surgery for Omohyoid Muscle Syndrome.肩胛舌骨肌综合征的内镜手术
J Laparoendosc Adv Surg Tech A. 2015 Aug;25(8):672-4. doi: 10.1089/lap.2015.0194. Epub 2015 Jun 19.
6
Sternohyoid muscle syndrome.胸骨舌骨肌综合征
Am J Otolaryngol. 2015 Mar-Apr;36(2):190-4. doi: 10.1016/j.amjoto.2014.10.028. Epub 2014 Oct 22.
7
Ultrasound-guided injection of botulinum toxin in a patient with omohyoid muscle syndrome: a case report.超声引导下肉毒杆菌毒素注射治疗肩胛舌骨肌综合征1例:病例报告
J Clin Ultrasound. 2013 Jul-Aug;41(6):373-6. doi: 10.1002/jcu.21954. Epub 2012 Aug 1.
8
Pseudodysphagia due to omohyoid muscle syndrome.由胸锁乳突肌综合征引起的假性延髓性麻痹。
Dysphagia. 2009 Sep;24(3):357-61. doi: 10.1007/s00455-008-9206-8. Epub 2009 Feb 26.
9
Doubled omohyoid muscle in human: a case report and literature review.人类双份肩胛舌骨肌:一例报告及文献综述
Clin Anat. 2009 Nov;22(8):868-70. doi: 10.1002/ca.20725.
10
Anatomical study of the human omohyoid muscle: regarding intermediate morphologies between normal and anomalous morphologies of the superior belly.人肩胛舌骨肌的解剖学研究:关于上腹部正常形态与异常形态之间的中间形态。
Anat Sci Int. 2006 Jun;81(2):107-14. doi: 10.1111/j.1447-073X.2006.00138.x.