X线及MRI肩周炎患者影像特征与辨证分型的关系  

The Relationship between the X-ray and the Image Characteristics of MRI and Syndrome Differentiation Classification in Patients with Scapulohumeral Periarthritis

作　　者：单双[1] 贾中文[1] SHAN Shuang;JIA Zhongwen(Radiology Department, the Fourth Hospital Affiliated of China Medical University, Liaoning Province, Shenyang 110032, China)

机构地区：[1]中国医科大学附属第四医院放射线科,辽宁沈阳110032

出　　处：《中国中医药现代远程教育》2018年第11期55-56,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的研究肩周炎患者X线与MRI的影像特征与中医辨证分型的关系。方法选取肩周炎患者100例进行X线检查,其中21例患者同时接受MRI检查。分析检查结果,总结肩周炎影像特征与中医辨证分型的关系。结果 15例瘀滞型、26例风寒湿型、59例气血亏虚型。肩峰下脂肪线模糊且部分消失者34例,肩部软组织内片状或斑点状钙化者31例,肩峰下滑囊增厚者3例,肩关节退行性变者46例,包含21例不同程度骨质疏松和关节间隙改变者及25例关节面边缘骨质增生者,X线正常15例。21例MRI检查提示肩袖损伤4例、肩盂关节积液16例、肩峰下关节滑囊积液1例。结论肩周炎患者的影像学具有一定的特征,能为疾病分型及辨证施治提供参考。Objective To study the relationship between the imaging characteristics of X ray and MRI in patients with periarthritis of shoulder and the syndrome differentiation of TCM was studied. Methods A total of 100 patients with periarthritis of shoulder were examined by X ray, and 21 patients underwent MRI examination at the same time. The relationship between the characteristics of periarthritis of shoulder and the syndrome differentiation of Chinese medicine was summarized. Results There were 15 cases of stasis,26 cases of wind chill and 59 cases of qi and blood deficiency. Under the shoulder peak disappear fat faint and part of the 34 cases,flake or punctate calcification within the shoulder soft tissue 31 cases, shoulder peak decline capsule thickening of the 3 cases,shoulder joint degeneration of 46 cases, contains 21 cases of varying degrees of osteoporosis and joint clearance changer and 25 cases of articular surface edge bone, increase the living X-ray normal 15 cases. In the 21 cases, there were 4 cases of rotator cuff injury, 16 cases of glenoid joint effusion, and 1 case of synovial fluid accumulation under the shoulder peak. Conclusion The imaging of patients with periarthritis of shoulder has certain characteristics, which can provide reference for disease classification and syndrome differentiation treatment.

关 键 词：MRI 肩周炎 辨证分型 X线 痹证 

分 类 号：R274.9[医药卫生—中西医结合]