摘要
最近已经提出了用于评估人类收缩期间隔膜的厚度和运动变化的超声检查。关于人类腹部肌肉超声评估的数据是稀缺的。因此,我们在正常受试者中呼吸道运动期间使用这种技术研究了厚度的变化和腹部肌肉的相关机械效应。我们使用7.5MHz B模式超声换能器评估六个正常男性受试者(年龄26-36 YRS)中的腹部肌肉层的厚度。胃(PG)和口压,外倾斜(EO)的肌肉厚度,内倾斜(IO),横向腹部(TA)和直肠腹部(RA)进行了功能性残留能力(FRC),残余体积(RV),在渐进(PEE)和最大呼气努力(MEES)期间,闭合气道和倒闭期间的总肺容量(TLC)和对侧(HTR)和对侧(CTR)行李箱旋转。发现腹部肌肉厚度可重现(变异系数和异常的双向分析)。与FRC相比,IO,TA和RA的厚度在RV和MEES期间显着增加,而EO保持不变;在TLC,IO和TA的厚度显着降低。在PEE期间,在所有受试者中观察到PG和TA厚度之间的显着关系,其他腹部肌肉的厚度与PG不一致。 Finally, a significant increase in the thickness of IO and EO was found during HTR and CTR, respectively. We conclude that during maximal expiratory manoeuvres, transversus abdominis, internal oblique and rectus abdominis thickened similarly. Transversus abdominis seems to be the major contributor in generating abdominal expiratory pressure during progressive expiratory efforts. External oblique seems to be preferentially involved during trunk rotation. These results suggest the possible value of studying the abdominal muscles by ultrasonography in various respiratory disorders.