常规MR检查与关节镜在肩关节损伤中的对比研究  

Study on the Comparison of Normal MR Examination with Arthroscopy for Shoulder Joint Injury

作　　者：赵继泉[1] 李佩文[1] 黄秀燕[2] 杨侃荣[1] 钟应泽[1] 曹兴海[1] 

机构地区：[1]佛山市第二人民医院医学影像中心,广东佛山528000 [2]佛山市中医院,广东佛山528000

出　　处：《中外医疗》2014年第23期54-56,共3页China & Foreign Medical Treatment

基　　金：佛山市科技局课题(20111021010005)

摘　　要：目的通过对比分析常规MR检查与关节镜结果,探讨MR在肩关节损伤疾病中的应用价值。方法用1.5T MR扫描仪对27例肩关节损伤患者进行扫描,分析韧带、肌腱及盂唇的MRI形态学表现特点,与关节镜结果进行对比。结果 MR在判断肩袖损伤的准确度81.5%,敏感度及特异度分别为85%、71.4%。在关节盂唇损伤准确度88.9%,敏感度50%,特异度100%。在肱二头肌长头肌腱撕裂中准确度91.3%,敏感度66.7%,特异度80.9%。结论 MR能多方位成像,且软组织分辨率高,对肩关节周围的软组织结构显示清晰,在肩关节损伤中具有较高的应用价值,能提高肩关节损伤的诊断率。Objective To investigate the application value of MR for shoulder joint injury by comparing and analyzing the resuhs of MR examination and arthroseopy. Methods 27 patients with shoulder joint injury were scanned with 1.5T MR. the MRI morphological characteristics of ligaments, tendons and glenoid labrum were analyzed and compared with the result of arthroscopy. Results For determining rotator cuff injury, the accuracy of MR was 81.5%, sensitivity and specificity was 85%, 71.4%, respectively. For determining glenoid labrum injury, the accuracy, sensitivity and specificity of MR was 88.9%, 50%, 100%, respectively. And for determining long head of biceps tendon tear, the accuracy, sensitivity and specificity of MR was 91.3%, 66.7%, 80.9%, re- spectively. Conclusion Normal MR imaging can be multi-faceted and have high resolution of soft tissue, the structure of soft tissue around the shoulder joint can be showed clearly; MR has a high application value for the shoulder joint injury, which can improve the diagnosis rate of the disease.

关 键 词：肩关节 肩袖撕裂 盂唇损伤 磁共振成像 关节镜 

分 类 号：R684[医药卫生—骨科学]