肩袖全层撕裂不同亚型术前超声诊断价值  

Diagnostic value of ultrasonography in different subtypes of rotator cuff tear

作　　者：韩洋[1] 刘亮[1] 赵峰[1] 陈洁[1] 

机构地区：[1]首都医科大学附属北京潞河医院,北京101149

出　　处：《中国临床医学影像杂志》2017年第2期130-132,共3页Journal of China Clinic Medical Imaging

摘　　要：目的:探讨高频超声对肩袖全层撕裂亚型诊断的术前应用价值。方法 :用过高频超声将冈上肌腱全层撕裂分为4型,并与肩关节镜进行对比观察,评价超声诊断冈上肌腱撕裂分型的符合率,并探讨其在临床中的应用价值。结果:本次研究中65例患者的71个肩关节中,超声发现冈上肌腱全层撕裂65个,经手术证实冈上肌腱全层撕裂67个,超声低估撕裂程度3个,高估1个。在67个全层型撕裂中L型27个,全层U型17个(其中双U+L型1个),巨大撕裂15个,新月型8个。超声诊断冈上肌腱全层撕裂的敏感性为95.5%,特异性为75%,总符合率为94.4%。结论:高频超声可以很好的对肩袖全层撕裂进行术前分型,对手术方式的选择具有很高的指导价值。Objective： To explore the diagnostic value of high frequency ultrasound in the different subtypes classification of the rotator cuff tear. Methods： The full-thickness tear of supraspinatus tendon is divided into 4 types by using high frequency ultrasound. By comparing with the shoulder arthroscopy, we explore its application value in clinical practice. Results： Of 71 shoulder cases in 65 patients, 67 full-thickness tear of the supraspinatus tendon were confirmed by operation, and three were underestimated and one was overestimated by ultrasound. Of 67 full-thickness, 27 L-type, 17 U type （double U＋L type 1）, 15 giant tear and 8 crescent shaped types were comfired. The sensitivity and specificity of uhrasonography in the diagnosis of the whole layer tear of the tendon were 95.5% and 75%, and the total coincidence rate was 94.4%. Conclusion： High frequency ultrasound can be very good for classification of the rotator cuff tear. It is highly valuable for clinical treatment and surgical options.

关 键 词：肩 撕裂伤 超声检查 多普勒 彩色 

分 类 号：R686.1[医药卫生—骨科学] R445.1[医药卫生—外科学]