| 吴优，宋庆，李长生，蓝志英，张黎，许金水.周围性面瘫面肌萎缩定量超声图像与临床表现的相关性初探[J].实用中西医结合临床,2021,21(18):11-13,75 |
| 周围性面瘫面肌萎缩定量超声图像与临床表现的相关性初探 |
| Preliminary Study on the Correlation between Quantitative Ultrasound Images and Clinical Manifestation in Patients with Facial Muscle Atrophy in Peripheral Facial Paralysis |
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| DOI： |
| 中文关键词: 周围性面瘫 面部表情肌萎缩 定量超声图像 相关性 |
| 英文关键词: Peripheral facial paralysis Facial expression muscle atrophy Quantitative ultrasound images Correlation |
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| 中文摘要: |
| 目的：通过超声成像技术探讨面部表情肌萎缩的定量超声图像与临床表现的相关性，为针灸临床及科研提供客观指标。方法：随机选取2019年9月~2021年5月收治的临床已出现面肌萎缩症状的周围性面瘫患者30例为观察组，临床未出现面肌萎缩症状的周围性面瘫患者30例为对照组，采用高频超声检测两组患者双侧面部表情肌厚度、平均回声强度及肌纤维改变情况并进行分析，为诊断面肌萎缩提供客观影像学依据。结果：观察组健-患侧面部表情肌厚度对比，差异有统计学意义（P＜0.01）；组内患者平均回声信号均增强，部分患者出现肌纤维不良改变。对照组健-患侧面部表情肌厚度对比，差异无统计学意义（P＞0.05），组内患者平均回声信号较健侧无明显改变，少数患者出现肌纤维不良改变。结论：面肌萎缩患者表情肌超声异常表现包括肌肉厚度改变、平均回声强度改变，上述改变可作为评价面肌萎缩及判断预后的可靠观察指标；肌纤维不良改变与面肌萎缩无明显相关性，考虑与预后相关。 |
| 英文摘要: |
| Objective:To explore the correlation between quantitative ultrasound images and clinical manifestation in patients with facial muscle atrophy in peripheral facial paralysis, so as to provide objective indicators for acupuncture clinical and scientific research. Methods: From September 2019 to May 2021, 30 patients with clinical symptoms of facial muscle atrophy in peripheral facial paralysis were randomly selected as the observation group, while 30 patients without clinical symptoms of facial muscle atrophy in peripheral facial paralysis were randomly selected as the control group. High frequency ultrasound was used to detect and analyze the changes of bilateral facial expression muscle thickness, average echo intensity and muscle fiber in the two groups, so as to provide objective imaging basis for the diagnosis of facial muscle atrophy. Results: There was significant difference in facial expression muscle thickness between healthy side and affected side in the observation group (P＜0.01); the average echo signal of patients in the group was enhanced, and some patients had myofibrillary changes. There was no significant difference in facial expression muscle thickness between healthy side and affected side in the control group (P＞0.05); the average echo signal of patients in the group had no significant change compared with the healthy side, and a few patients had myofibrillary changes. Conclusion: The abnormal manifestations of facial muscle ultrasound in patients with facial muscle atrophy include the changes of muscle thickness and average echo intensity, which can be used as reliable observation indexes to evaluate facial muscle atrophy and judge the prognosis. There was no significant correlation between the changes of muscular fibrosis and facial muscle atrophy, which was considered to be related to the prognosis. |
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