肩峰下撞击综合征的经皮超声引导下肩峰下滑囊造影表现  

Percutaneous ultrasound-guided subacromial bursography manifestations of subacromial impingement syndrome

作　　者：成雪晴 卢漫[1] 郭璇妍[1] 贺凡丁[1] 张振奇[1] 

机构地区：[1]四川省医学科学院四川省人民医院超声科,四川成都610072 [2]川北医学院研究生院,四川南充637000

出　　处：《中国医学影像技术》2016年第8期1260-1262,共3页Chinese Journal of Medical Imaging Technology

基　　金：四川省科技厅课题(2013JY0183)

摘　　要：目的探讨肩峰下撞击综合征(SIS)的经皮超声引导下肩峰下滑囊造影(PUSB)表现。方法对150例经临床诊断为SIS患者行PUSB检查,动态观察造影剂在滑囊内的弥散情况及是否进入肩袖、关节腔。结果 53例造影剂在滑囊内呈线状均匀分布,诊断为单纯性肩峰下滑囊炎。97例造影剂在滑囊内分布不均匀,诊断为粘连性肩峰下滑囊炎。40例可见造影剂由滑囊进入肩袖肌腱,但未达肱骨头表面;32例可见造影剂由滑囊进入肩袖肌腱,到达肱骨头表面;78例造影剂未进入肩袖肌腱。结论 PUSB可实时动态评估肩峰下滑囊炎、滑囊粘连、肩袖损伤等情况,对SIS的诊断具有较高的应用价值。Objective To explore the percutaneous ultrasound-guided subacromial bursography （PUSB） manifestations in patients with subacromial impingement syndrome （SIS）. Methods Totally 150 patients with SIS confirmed by clinical di- agnosis underwent PUSB, and the distribution of contrast mediain bursa mucosa, rotator cuff and articular cavity were dy- namically observed. Results There were 53 cases with linear uniform distribution contrast media in bursa mucosa, and ac- cordingly diagnosed as simple subacromial bursitis. There were 97 cases with non uniform distribution contrast media in bursa mucosa, and accordingly diagnosed as adhesive subacromial bursitis. The contrast media leaked into rotator cuff ten- don without reaching the surface of humeral head in 40 cases, while reached the surface of humeral head in 32 cases. There were 78 cases of rotator cuff tendon without contrast media. Conclusion PUSB can real-time dynamicly evaluate subacro- mial bursitis, adhesion of bursa, rotator cuff injury and so on. It has a great value for diagnosis of SIS.

关 键 词：肩撞击综合征 超声检查 介入性 

分 类 号：R685[医药卫生—骨科学] R445.1[医药卫生—外科学]