CT气-碘双对比造影诊断创伤性肩关节前不稳定的临床研究  

CLINICAL STUDY ON DOUBLE CONTRAST CT DIAGNOSIS OF TRAUMATIC ANTERIOR SHOULDER INSTABILITY

作　　者：王予彬[1] 董善国[2] 李增春[1] 李国平[3] 

机构地区：[1]同济大学附属东方医院骨科,上海200120 [2]北京军医进修学院创伤中心放射科 [3]国家体育总局运动医学研究所

出　　处：《中国修复重建外科杂志》2005年第7期551-553,共3页Chinese Journal of Reparative and Reconstructive Surgery

摘　　要：目的总结临床经验,提出CT气-碘双对比造影诊断创伤性肩关节前不稳定的临床价值。方法48例患者行CT气-碘双对比造影检查。在CT介入引导下行肩前侧穿刺,注入76%泛影葡胺4ml,再注入无菌过滤空气10ml。在西门子SOMATOMCR全身CT机下扫描。CT显示结果并参照病史、临床症状、体征及手术所见,分为、和度损伤。结果检查后3例肩部胀痛,2d后消失,余患者未述不适。CT气-碘双对比造影结果,度损伤9例,度损伤22例,度损伤17例。度损伤者采用康复治疗。度损伤者多采用康复治疗,但治疗时间较长。度损伤以手术治疗为主。结论CT气-碘双对比造影显示结果分为、和度损伤,不仅可反映病损及临床症状的严重性,而且能为临床治疗提供重要的影像学信息。Objective To evaluate the clinical importance of double contrast CT diagnosis of traumatic anterior shoulder instability. Methods Forty-eight patients underwent double contrast CT scan. With the guide of CT scan, anterior arthrocentesis of the shoulder was performed and 4 ml of 76% urografin was injected into the joint and then (10 ml) of filtrated air was injected. The patients were examined by SOMATOM CR Systematic CT. The results of double contrast CT of the 48 patients were divided into Ⅰ, Ⅱ and Ⅲ degree according to the CT results related to their injury history, clinical symptoms, signs and operation findings. Results The patients had no complaint after the CT examination except for 3 patients, who had slight pain within 2 days after CT examination. The results of double contrast CT were as follow:Ⅰ degree: 9 patients, Ⅱ degree: 22 patients, and Ⅲ degree: 17 patients. All patients with Ⅰ degree injuries were treated with rehabilitation program. The patients with Ⅱ degree injuries were mainly treated with rehabilitation program, but took much longer time. The patients with Ⅲ degree injuries were suggested to be treated with surgery. Conclusion To divide the results of double contrast CT into Ⅰ,Ⅱ and Ⅲ degree not only reflects the severity of traumatic anterior shoulder instability but provides information for the treatment of the instability.

关 键 词：肩 创伤 不稳定 CT 诊断 

分 类 号：R816.8[医药卫生—放射医学]