冈上肌出口位投照法联合MRI对肩关节撞击综合征诊断的价值评估  

The value assessment of extranestration of the superior muscle combine with MRI in the diagnosis of shoulder joint impingement syndrome

作　　者：凌志勇 高代平 费西平 黄凯清 林润芳 魏吉祥 

机构地区：[1]南方医科大学南海医院,广东南海528244

出　　处：《中医临床研究》2018年第21期115-116,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:研究分析冈上肌出口位投照法联合MRI对肩关节撞击综合征诊断的临床价值。方法:选取我院治疗的患者30例,患者应用飞利浦X线设备和MRI进行检查,比较分析患者肩峰下骨赘和肩峰下间隙情况。结果:肩关节肿胀患者9例,肩峰下骨赘患者17例,韧带钙化患者3例,骨折或关节脱位1例;患者采用两种检查方式比较肩峰形态分型比例差异无统计学意义(P>0.05);X线检查方式的肩峰下间隙为(1.22±0.04)cm,MRI检查方式的肩峰下间隙为(1.20±0.05)cm。结论:肩关节撞击综合征的诊断应用冈上肌出口位X线联合MRI,结果可有效评价肩关节部位解剖结构改变情况,起到明确诊断的临床价值。Objective:To study the value of extranestration of the superior muscle combine with MR in the diagnosis of shoulder joint impingement syndrome.Methods:30 patients treated in our hospital were selected and were examined by philips X-ray equipment and MR,and the patients were compared with the shoulder peak lower bone and shoulder peak clearance.Results:There were 9 cases of shoulder swelling,17 cases of osteophyte under the shoulder,3 cases of ligament calcification,1 case of fracture or joint dislocation.There was no statistically significant difference between two types of examinationof the proportion of shoulder peak morphologies in patients(P>0.05);The lower clearance of the shoulder peak of the X ray examination method was(1.22±0.04)cm,and the lower clearance between the shoulder peak of MRI examination method was(1.20±0.05)cm.Conclusions:The extranestration of the superior muscle X-ray and the combine with MRI was applied in the diagnosis of shoulder impingement syndrome,the results could effectively evaluate the anatomical structure changes of the shoulder joint and provide the clinical value for the diagnosis.

关 键 词：冈上肌出口位投照法 MRI 肩关节撞击综合征 临床价值 

分 类 号：R684.7[医药卫生—骨科学]