MRI、超声及Ⅹ线对肩峰下撞击综合征的诊断价值比较  

Comparison on value of MRI, Ultra sonography and Ⅹ Ray in diagnosis of subacromial impingement syndrome

作　　者：王涛[1] 刘辉[1] 周理乾[1] 樊国峰[1] 孙孟锟[1] 黄范利[1] 孙正明[2] 

机构地区：[1]陕西省人民医院放射科,陕西西安710068 [2]陕西省人民医院骨科,陕西西安710068

出　　处：《中国骨与关节损伤杂志》2016年第5期467-469,共3页Chinese Journal of Bone and Joint Injury

基　　金：陕西省技术转移与重点科技成果推广计划项目(2015CG004)

摘　　要：目的比较MRI、超声及X线对肩峰下撞击综合征的诊断价值。方法回顾性比较分析自2012-01—2015—09经临床确诊的42例肩峰下撞击综合征，比较MRI与X线对肩峰下撞击综合征的病因征象的检出率，比较MRI与超声对肩峰下撞击综合征直接和间接征象的检出率。结果与MRI检查比较，X线Ⅲ型肩峰检出率（x^2=3．859，P=0．043）及肩峰骨质增生检出率（x^2=4．200，P=0．040）更高，差异有统计学意义（P〈0．05）。X线与MRI的Ⅰ型肩峰检出率、Ⅱ型肩峰检出率及A—H间距比较差异无统计学意义（P〉0．05）。MRI与超声检查对冈上肌肌腱水肿、冈上肌肌腱完全撕裂、肩峰下滑囊增厚、肩峰下滑囊积液及肩关节囊内积液的检出率比较差异无统计学意义（P〉0．05）；MRI对冈上肌肌腱部分撕裂的检出率较超声高，差异有统计学意义（x^2=3．877，P=0．041）。结论X线显示肩峰下撞击综合征的病因征象较MRI好。MRI与超声均可显示肩峰下撞击综合征的直接及间接征象，但MRI对冈上肌肌腱部分撕裂的检出率更高。Objective To compare the value of MRI, Ultra sonography and X Ray in diagnosis of subacromial impingement syndrome （SIS）. Methods Forty-two cases of clinically diagnosed SIS from Jam 2012 to Sept. 2015 were retrospectively and comparatively analyzed, the detection ratio between MRI and X Ray on the cause sign of SIS were compared, the detection ratio between MRI and Ultra sonography in diagnosis of the direct and indirect sign of SIS were compared. Results Compared with MRI, the detection ratio of X Ray in type m acrimony and bone hyperplasia was higher, the difference was statistically significant （P 〈0.05）. The difference of detection ratio of type I and II acrimony and distance of A-H were not statistically significant（P 〉0.05） between MRI and X Ray. The difference of detection ratio of supraspinatus tendon edema, complete tear of supraspinatus tendon, subacromial bursa thickening, subacromial bursa effusion and capsular effusion of shoulder joint were not statistically significant between MRI and X Ray（P 〉0.05）. The detection ratio of MRI in partial tear of supraspinatus tendon was higher than that of Ultra sonography, the difference was statistically significant （~2 =3.877, P =0.041）. Conclusion X Ray diagnosis has more accurate cause sign of SIS than MRI. MRI can find more partial tear of the supraspinatus tendon than Ultra sonography, there are no statistically significant difference in other direct and indirect sign of SIS.

关 键 词：肩峰下撞击综合征 磁共振成像 超声 X线成像 

分 类 号：R685.4[医药卫生—骨科学]