磁共振平扫及关节腔造影在肩关节损伤诊断的价值研究
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摘要
目的:探讨磁共振肩关节造影诊断肩袖部分撕裂的效果。方法:选取124例肩袖部分损伤患者为研究对象,对患者进行磁共振平扫与磁共振肩关节造影诊断,以关节镜手术为对照组,分析两种方法诊断结果。结果:磁共振肩关节造影诊断肩袖内层部分撕裂敏感度、特异度、准确度、阳性预测及阴性预测均优于常规磁共振平扫,但是外层撕裂及肌腱内撕裂上磁共振肩关节造影不能有效诊断出。结论:磁共振肩关节造影可准确诊断肩袖内部撕裂范围及程度,可作为常规磁共振诊断肩袖损伤的补充,两者联合应用,能为临床诊治提供更为可靠的依据。
Objective: To evaluate the effect of magnetic resonance shoulder arthrography in the diagnosis of partial tears of rotator cuff.Methods: 124 patients with partial rotator cuff injury were selected as the research object. All the patients were diagnosed by arthroscopy,Arthroscopic surgery as a control group,and the patients were diagnosed by magnetic resonance imaging and magnetic resonance shoulder arthrography. Results: Magnetic resonance shoulder arthrography is superior to conventional magnetic resonance imaging in the diagnosis of partial tear,sensitivity,specificity,accuracy,positive prediction and negative prediction of the rotator cuff,but the outer layer of the tear in the tendon tear and magnetic resonance arthrography can not effectively diagnoseConclusion: Magnetic resonance shoulder arthrography can accurately diagnose the extent and extent of internal tear of the rotator cufftear.It can be used as a rotator cuff injury supplement conventional MRI diagnosis.It can provide a more reliable basis for clinical diagnosis and treatment if their combination.
Objective: To evaluate the effect of magnetic resonance shoulder arthrography in the diagnosis of partial tears of rotator cuff.Methods: 124 patients with partial rotator cuff injury were selected as the research object. All the patients were diagnosed by arthroscopy,Arthroscopic surgery as a control group,and the patients were diagnosed by magnetic resonance imaging and magnetic resonance shoulder arthrography. Results: Magnetic resonance shoulder arthrography is superior to conventional magnetic resonance imaging in the diagnosis of partial tear,sensitivity,specificity,accuracy,positive prediction and negative prediction of the rotator cuff,but the outer layer of the tear in the tendon tear and magnetic resonance arthrography can not effectively diagnoseConclusion: Magnetic resonance shoulder arthrography can accurately diagnose the extent and extent of internal tear of the rotator cufftear.It can be used as a rotator cuff injury supplement conventional MRI diagnosis.It can provide a more reliable basis for clinical diagnosis and treatment if their combination.
引文
[1]刘树学,任明达,肖铮,等.磁共振平扫与磁共振关节造影在肩袖撕裂诊断中的应用价值[J].实用放射学杂志,2013,29(4):615~618.
[2]杨晓,姜庆军,郁冰冰,等.MRI肩关节造影在肩袖间撕裂诊断中的临床应用价值[J].医学影像学杂志,2012,22(3):502~504.
[3]刘玉杰,王志刚,王岩,等.肩袖损伤的影像学及关节镜诊疗价值,[J].中华创伤杂志,2004,20(1):33~35.
[4]陈松,周洁,梁治平,等.肩袖损伤的磁共振诊断及不同扫描方位对病变检出率的研究[J].中国CT和MRI杂志,2013,11(3):103~105.
[5]刘彪,魏景欣,黄丽娣,等.常规磁共振与磁共振间接关节造影诊断肩袖损伤的对比研究[J].广西医学,2017,39(2):207~210.
[6]孙英彩,崔建岭,石俊岭,等.肩袖撕裂磁共振成像与直接法磁共振关节造影的对比研究[J].河北医科大学学报,2015,36(8):898~901.
[7]娄晓宇,张振勇,王海波,等.磁共振肩关节造影在肩袖损伤的临床应用[J].现代医用影像学,2016,5(2):157~161.
[8]陈基明,翟建,黄德刚,等.常规MRI与MR关节造影诊断肩袖撕裂的初步对比研究[J].临床放射学杂志,2016,35(2):263~266.
[2]杨晓,姜庆军,郁冰冰,等.MRI肩关节造影在肩袖间撕裂诊断中的临床应用价值[J].医学影像学杂志,2012,22(3):502~504.
[3]刘玉杰,王志刚,王岩,等.肩袖损伤的影像学及关节镜诊疗价值,[J].中华创伤杂志,2004,20(1):33~35.
[4]陈松,周洁,梁治平,等.肩袖损伤的磁共振诊断及不同扫描方位对病变检出率的研究[J].中国CT和MRI杂志,2013,11(3):103~105.
[5]刘彪,魏景欣,黄丽娣,等.常规磁共振与磁共振间接关节造影诊断肩袖损伤的对比研究[J].广西医学,2017,39(2):207~210.
[6]孙英彩,崔建岭,石俊岭,等.肩袖撕裂磁共振成像与直接法磁共振关节造影的对比研究[J].河北医科大学学报,2015,36(8):898~901.
[7]娄晓宇,张振勇,王海波,等.磁共振肩关节造影在肩袖损伤的临床应用[J].现代医用影像学,2016,5(2):157~161.
[8]陈基明,翟建,黄德刚,等.常规MRI与MR关节造影诊断肩袖撕裂的初步对比研究[J].临床放射学杂志,2016,35(2):263~266.