Objective This study aims to evaluate the Achilles tendon's properties after rehabilitation training in patients with stroke using real‐time ultrasound elastography. Methods A total of 24 patients with mild hemiplegic stroke in the past 6 to 12 months and unilateral lower limb movement disorder were prospectively enrolled. All patients accepted 9‐week rehabilitation training with the same schema. The 2‐dimensional elastography and real‐time elastography findings in the impaired and contralateral normal Achilles tendon were measured at pretraining and at 3, 6, and 9 weeks after training, which included tendon length, thickness, elasticity score (grade 1–3), and strain ratio of fat to tendon. The functional properties, which include the 10‐meter walk test and timed up‐and‐go scores, were evaluated before and after the 9‐week training. Results The impaired Achilles tendon had a longer length (P = .002), lower frequency of grade 1 (P = .012), and lower strain ratio (P = .009) than the contralateral tendon before training. The impaired tendons at the third, sixth, and ninth weeks after training were compared to ones before training, respectively, which revealed shorter length, increased frequency of grade 1, and increased strain ratio. The first statistically significant changes in the length were observed at the sixth week, while such changes in elasticity score and strain ratio were observed at the ninth week. Conclusions Two‐dimensional elastography and real‐time elastography can provide valuable imaging markers for quantitatively evaluating the Achilles tendon's properties after rehabilitation training in patients with stroke.
Purpose Exogenic adenomyoma of the cervix is very rare. To date, very few cases have been reported, and the presentation and diagnosis are not clear. The aim of this study was to present 2 cases of exogenic adenomyoma of the cervix and summarize what is known about this disease by conducting a literature review of reported findings. Methods The clinical data from 2 cases of women with exogenic adenomyoma of the cervix admitted to Peking University First Hospital were analyzed retrospectively, and a systematic literature review was carried out. Results In our cases, exogenic adenomyoma of the cervix presented as a mass with mixed solid and cystic lesions in the pelvis and could not be separated from the cervix. Postoperative examination of the surgical specimen using pathological tests confirmed the tumors were composed of a proliferation of endocervical glands and smooth muscle, based on which exogenic adenomyoma of the cervix was confirmed. Conclusions Exogenic adenomyoma of the cervix should be considered in the diagnosis, in cases of mixed solid and cystic pelvic masses found in close relationship with the cervix.
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