| MRI引导下肩关节穿刺造影 |
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投稿时间：2009-06-05
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| 作者 | Author | 单位 | Address | E-Mail |
| 王玉林 |
WANG Yu-lin |
解放军总医院放射科,北京 100853 |
Department of Radiology,the PLA General Hospital,Beijing 100853,China |
liuquan@gmail.com |
| 郭行高 |
GUO Xing-gao |
解放军总医院放射科,北京 100853 |
Department of Radiology,the PLA General Hospital,Beijing 100853,China |
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| 程流泉 |
CHENG Liu-quan |
解放军总医院放射科,北京 100853 |
Department of Radiology,the PLA General Hospital,Beijing 100853,China |
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| 魏民 |
WEI Min |
解放军总医院骨科,北京 100853 |
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| 徐贤 |
XU Xian |
解放军总医院放射科,北京 100853 |
Department of Radiology,the PLA General Hospital,Beijing 100853,China |
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| 马林 |
MA Lin |
解放军总医院放射科,北京 100853 |
Department of Radiology,the PLA General Hospital,Beijing 100853,China |
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| 期刊信息：《中国骨伤》2009年，第22卷，第9期，第665-667页 |
| DOI：doi:10.3969/j.issn.1003-0034.yyyy.nn.zzz |
| 基金项目: |
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中文摘要:
目的： 探讨MRI引导下肩关节直接穿刺造影的方法及临床应用。
方法：选取2008年4-10月间临床怀疑有肩袖损伤的患者40例(其中男29例，女11例；年龄22～70岁，平均35岁),进行MRI引导下肩关节直接穿刺造影检查，对于肩袖结构及肌腱附着处、盂唇进行显示及诊断，所得结果与关节镜探查结果进行比较。
结果：40例可疑肩袖损伤的患者中，28例经关节镜证实肩袖不同结构撕裂。MRI引导下肩关节造影清晰显示病变36例，造影剂外渗进入周围滑囊1例，关节腔内进入气体1例，无肩袖损伤2例。MRI平扫和造影检查共同诊断肩关节损伤26例，与关节镜结果一致。
结论：MRI引导下前部直接穿刺肩关节造影是一种微创的显示肩袖损伤的检查方法，具有较高的准确率，可作为临床诊断肩袖损伤常规的检查方法。 |
| 【关键词】肩关节 穿刺术 诊断 磁共振成像 |
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| MR image-guided anterior direct arthrography of the shoulder |
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ABSTRACT
Objective: To investigate the method of MR guided anterior direct arthrogaphy of shoulder and its clinical applications.
Methods: From 2008.4 to 2008.10,40 patients with rotator-cuff tear( 29 males and 11 females,ranging in age from 22 to 70 years,with an average of 35 years) underwent MR guided anterior direct arthrogaphy of shoulder,so as to diagnosis shoulder wound. The results were compared to that of arthroscopy.
Results: Shoulder arthrography showed lesons in 36 patients,and failure in 2 patients,including contrast media extravasation in 1 patient,and gas entry to joint cavity in 1 patient. Two patients showed no rotator cuff injuries. Twenty-eight patients were confirmed by arthroscopy as rotator-cuff injured in different degree. Twenty-six patients were confirmed injuries by both arthroscopy and MR guided anterior direct arthrogaphy.
Conclusion: MR guided anterior direct arthrogaphy of shoulder as a minimally invasive method in displaying the rotator-cuff tear has higher accuracy and wide clinical application prospect. |
| KEY WORDS Shoulder joint Punctures Diagnosis Magnetic resonance imaging |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 王玉林,郭行高,程流泉,魏民,徐贤,马林.MRI引导下肩关节穿刺造影[J].中国骨伤,2009,22(9):665~667 |
| 英文格式: | WANG Yu-lin,GUO Xing-gao,CHENG Liu-quan,WEI Min,XU Xian,MA Lin.MR image-guided anterior direct arthrography of the shoulder[J].zhongguo gu shang / China J Orthop Trauma ,2009,22(9):665~667 |
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