| 高频超声对肩袖撕裂诊断的应用价值 |
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Received:January 26, 2013
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张晨 |
ZHANG Chen |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 郭玲 |
GUO Ling |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
lvsedehaiyang@163.com |
| 安娜 |
AN Na |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 刘广会 |
LIU Guang-hui |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 朱永涛 |
ZHU Yong-tao |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 范利君 |
FAN Li-jun |
中国中医科学院望京医院超声科, 北京 100102 |
Wangjing Hospital, China Academy of Chinese Medical Sciences, Beijing 100102, China |
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| 期刊信息：《中国骨伤》2013年26卷，第9期，第784-786页 |
| DOI：10.3969/j.issn.1003-0034.2013.09.020 |
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目的：对比分析高频超声检查对肩袖撕裂的诊断价值.
方法：回顾性分析临床怀疑肩袖撕裂并分别行超声、MRI检查及关节镜治疗的患者37例37肩,男21例,女16例;年龄51～75岁,平均64岁.通过超声检查对肩袖损伤进行分型,并与MRI及关节镜结果行对比分析.
结果：超声检查诊断肩袖损伤32肩,诊断正常肩袖5肩;MRI诊断肩袖损伤29肩,正常8肩;手术诊断肩袖损伤33肩,诊断正常肩袖4肩.超声诊断肩袖损伤的敏感性为93.4%(31/33),特异性为75.0%(3/4);MRI诊断肩袖损伤的敏感性为87.5%(28/32),特异性为80.0%(4/5).
结论：超声检查在诊断肩袖损伤方面具有较高灵敏度及特异性,可以作为诊断肩袖损伤的常规检查方法. |
| [关键词]:肩袖损伤 高频超声 磁共振成像 关节镜 |
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| Application value of high-frequency ultrasound on the diagnosis of rotator cuff tears |
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Abstract:
Objective：To study the diagnostic value of high frequency ultrasound in diagnosing rotator cuff tears.
Methods：Total 37 patients (37 shoulders) with rotator cuff tears were detected by ultrasound,MRI examination and arthroscopy retrospectively.Among the patients,21 patients were male and 16 patients were female.The average age was 64 years old (ranged,51 to 75 years old).High frequency ultrasonography and MRI were applied to exam the shoulder under the standardizeds to point types and compare with arthroscopy results.
Results：Thirty-two shoulders were diagnosed as rotator cuff injury by ultrasound,and 5 shoulders were detected as normal rotator cuff by ultrasound.Twenty-nine shoulders were diagnosed as rotator cuff injury by MRI,and 8 shoulders were detected as normal rotator cuff by MRI.Thirty-three shoulders were diag nosed as rotator cuff injury during the operation,and 4 shoulders were regarded as rotator cuff during the operation.The sensitivity of ultrasound diagnosis was 93.4%(31/33),and specific degree was 75.0%(3/4).The sensitivity of MRI diagnosis was 87.5%(28/32),and specific degree was 80.0%(4/5).
Conclusion：High frequency ultrasound in the diagnosis of rotator cuff tears injuries has a high sensitivity and specificity.High frequency ultrasound can be used as a routine method to diagnose rotator cuff tears injuries. |
| KEYWORDS:Rotator cuff Ultrasound Magnetic resonance imaging Arthroscopy |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张晨,郭玲,安娜,刘广会,朱永涛,范利君.高频超声对肩袖撕裂诊断的应用价值[J].中国骨伤,2013,26(9):784~786 |
| 英文格式: | ZHANG Chen,GUO Ling,AN Na,LIU Guang-hui,ZHU Yong-tao,FAN Li-jun.Application value of high-frequency ultrasound on the diagnosis of rotator cuff tears[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(9):784~786 |
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