Clinical effect of musculoskeletal ultrasound in the diagnosis of traumatic superficial soft tissue injury in the elderly
肌骨超声在老年创伤性浅表软组织损伤诊断中的临床效果

摘要

目的 探索将肌骨超声应用在老年创伤性浅表软组织损伤诊断中的临床效果。方法 选择我院2023年2月份-2025年2月份100例疑似老年创伤性浅表软组织损伤患者为研究对象，均实施肌骨超声和MRI检查，并以手术病理检查作为金标准，分析诊断效果。结果 （1）诊断效能方面，肌骨超声诊断和MRI诊断灵敏度、特异度、准确度、阳性预测值、阴性预测值无明显差异（P＞0.05）。（2）诊断类型准确率方面，MRI诊断与肌骨超声在神经损伤、实性肿块、囊性肿块、韧带撕裂、肌腱损伤、半月板撕裂诊断中准确率中无明显差异（P＞0.05）。结论 肌骨超声在老年创伤性浅表软组织损伤诊断中的临床效果较佳，能够为临床准确诊断和病情评估提供重要参考依据，值得积极应用。

Abstract

Objective To explore the clinical effect of applying musculoskeletal ultrasound in the diagnosis of traumatic superficial soft tissue injuries in the elderly.
Methods 100 suspected elderly patients with traumatic superficial soft tissue injuries in our hospital from February 2023 to February 2025 were selected as the research subjects. Musculoskeletal ultrasound and MRI examinations were performed, and surgical pathological examination was used as the gold standard to analyze the diagnostic effect.
Results (1) In terms of diagnostic efficacy, there was no significant difference in sensitivity, specificity, accuracy, positive predictive value, and negative predictive value between musculoskeletal ultrasound diagnosis and MRI diagnosis (P>0.05). (2) In terms of diagnostic accuracy, there was no significant difference (P>0.05) between MRI diagnosis and musculoskeletal ultrasound in the diagnosis of nerve injury, solid mass, cystic mass, ligament tear, tendon injury, and meniscus tear.
Conclusion   Musculoskeletal ultrasound has a better clinical effect in the diagnosis of traumatic superficial soft tissue injuries in the elderly, providing important reference for accurate clinical diagnosis and disease evaluation, and is worthy of active application.