复发性肩关节前方不稳合并SLAP损伤MR直接造影与关节镜检查的临床对比分析  

MR Direct Imaging and Diagnosis of Recurrent Anterior Shoulder Instability with SLAP Injury Clinical Comparative Analysis of Arthroscopy

作　　者：唐光华 黄建国 周军 周建锋 江长青[2] TANG Guanghua;HUANG Jianguo;ZHOU Jun;ZHOU Jianfeng;JIANG Changqing(Huiyang Sanhe hospital,Huizhou,Guangdong 516211,China;Shenzhen Hospital of Peking University,Shenzhen,Guangdong 518036,China)

机构地区：[1]惠阳三和医院,广东惠州516211 [2]北京大学深圳医院,广东深圳518036

出　　处：《大医生》2020年第3期75-78,共4页Doctor

基　　金：惠州市科技计划项目(编号:180508191742179)。

摘　　要：目的评价在对复发性肩关节前方不稳合并上盂唇前后向撕裂(SLAP)损伤诊断中实施核磁共振(MR)直接造影与关节镜临床价值。方法选取惠阳三和医院骨科2018年7月至2019年11月收治的18例复发性肩关节前方不稳合并SLAP损伤患者为研究对象,均实施MR直接造影及关节镜检查,以关节镜检查结果为标准,评价MR直接造影临床价值。结果在复发性肩关节前方不稳合并SLAP损伤中MR直接造影不同分型检出率与关节镜相近,且MR直接造影总检出率88.89%与关节镜100.00%相近(P>0.05);经MR直接造影检查SLAP合并伤总检出率为92.00%与关节镜100.00%相近(P>0.05)。结论在对复发性肩关节前方不稳合并SLAP损伤诊断中,与关节镜相比,MR直接造影诊断同样具良好诊断效果,可作为其可靠诊断手段。Objective To evaluate the clinical value of MR imaging and arthroscopy in the diagnosis of recurrent anterior shoulder instability with SLAP(upper lip)injury.Methods From July 2018 to November 2019,18 patients with recurrent anterior shoulder instability complicated with SLAP injury in our hospital were selected as the study subjects.All of them underwent MR direct contrast and arthroscopy,and the clinical value of MR direct contrast was evaluated based on the results of arthroscopy.Results MR was similar to arthroscopy in different types of patients with recurrent anterior instability of shoulder and slap injury,and the total detection rate of MR was 88.89%and 100.00%respectively(P>0.05);the total detection rate of slap combined injury was 92.00%and 100.00%respectively(P>0.05).Conclusion In the diagnosis of recurrent anterior instability of shoulder with SLAP injury,MR direct contrast imaging can be used as a reliable diagnostic method.

关 键 词：复发性肩关节前方不稳 SLAP损伤 MR直接造影 

分 类 号：R68[医药卫生—骨科学]