| MRI在急性肩袖间隙损伤中的诊断价值 |
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投稿时间：2019-12-04
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| 作者 | Author | 单位 | Address | E-Mail |
| 杨文海 |
YANG Wen-hai |
台州市第一人民医院放射科, 浙江 台州 318020 |
Department of Radiology, the First People's Hospital of Taizhou, Taizhou 318020, Zhejiang, China |
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| 张期莲 |
ZHANG Qi-lian |
台州市第一人民医院放射科, 浙江 台州 318020 |
Department of Radiology, the First People's Hospital of Taizhou, Taizhou 318020, Zhejiang, China |
420620596@qq.com |
| 张雪红 |
ZHANG Xue-hong |
台州市第一人民医院放射科, 浙江 台州 318020 |
Department of Radiology, the First People's Hospital of Taizhou, Taizhou 318020, Zhejiang, China |
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| 期刊信息：《中国骨伤》2021年，第34卷，第2期，第175-179页 |
| DOI：10.12200/j.issn.1003-0034.2021.02.016 |
| 基金项目: |
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中文摘要:
目的：对比分析1.5 T磁共振在急性肩袖间隙损伤中的临床应用价值。
方法：回顾性分析自2016年3月至2019年2月经临床诊断并分别行MRI、关节镜检查的急性肩袖撕裂患者160例，男122例，女38例，年龄22～71（42.35±3.48）岁。以关节镜检查结果为金标准，通过MRI轴位、斜冠状位、斜矢状位图像观察肩袖、肩袖间隙、周围滑囊、骨与软组织等结构的损伤情况，主要包括形态及信号改变。
结果：急性肩袖间隙损伤的MRI直接征象为喙肱韧带盂肱上韧带复合体增粗、纤细、扭曲、连续性中断，质子加权压脂序列呈高信号，其中以斜矢状位显示较佳；间接征象为肩袖、周围滑囊、骨与软组织损伤；两侧检查方法的检查结果具有相当满意的一致性（Kappa=0.85），且两种检查方法诊断的一致率具有统计学意义（Z=10.75，P<0.00）；两种诊断方法不一致部分的差别无统计学意义（χ2=0.40，P>0.05）；MRI诊断急性肩袖间隙损伤的一致率、真阳性率、真阴性率、假阳性率、假阴性率分别为93.75%、91.30%、94.74%、5.26%、8.70%。
结论：MRI能清楚显示肩袖间隙解剖结构，能较准确地诊断急性肩袖间隙损伤，为临床诊疗提供较精准的影像学依据。 |
| 【关键词】磁共振成像 回旋套损伤 诊断，计算机辅助 |
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| Diagnosis value of MRI in acute rotator interval injury |
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ABSTRACT
Objective: To compare clinical application of 1.5 T MRI in acute rotator interval injury.
Methods: Totally 160 patients with acute rotator cuff tear by clinical diagnosis were retrospectively analyzed by MRI examination and arthroscopy from March 2016 to February 2019,including 122 males and 38 females,aged from 22 to 71 years old with an average of(42.35±3.48) years old. Based on the results of arthroscopy as the gold standard,the shape and signal changes of rotator cuff,rotator interval,peripheral bursa,bone and soft tissue were observed by MRI on axial,oblique coronal and oblique sagittal imagese.
Results: The direct MRI signs of acute rotator interval injury displayed thickening,diminution,distortion,interruption of the coracohumeral ligament and superior glenohumeral ligament complex with high signal intensity on fat-suppression by proton weighted sequence. The indirect MRI signs displayed rotator cuff,peripheral bone and soft tissue injury. The consistency of the results between the two methods was quite satisfactory (Kappa=0.85),and the concordance rate of the two methods has statistically significant(Z=10.75,P<0.00). There was no statistical difference in the inconsistent parts between two methods(χ2=0.400,P>0.05). The true positive rate,true negative rate,false positive rate and false negative rate of MRI diagnosis of rotator interval injury were 93.75%,91.30%,94.74%,5.26%,8.70% respectively.
Conclusion: MRI could clearly display acute rotator interval,and could accurately diagnose acute rotator interval injury,which provide more accurate imaging basis for clinical diagnosis and treatment. |
| KEY WORDS Magnetic Resonance Imaging Rotator cuff injuries Diagnosis,computer-assisted |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 杨文海,张期莲,张雪红.MRI在急性肩袖间隙损伤中的诊断价值[J].中国骨伤,2021,34(2):175~179 |
| 英文格式: | YANG Wen-hai,ZHANG Qi-lian,ZHANG Xue-hong.Diagnosis value of MRI in acute rotator interval injury[J].zhongguo gu shang / China J Orthop Trauma ,2021,34(2):175~179 |
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