高频超声与磁共振成像对冻结肩的诊断价值比较  

Comparison of the diagnostic value of high-frequency ultrasound and magnetic resonance imaging in frozen shoulder

作　　者：邱嘉卉 马倩[2] 李奥[2] 彭晓静[2] 胡彧[2] QIU Jiahui;MA Qian;LI Ao;PENG Xiaojing;HU Yu(Department of Gynaecology,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Province,Nanjing 210029,China;Department of Ultrasound,the First Affiliated Hospital with Nanjing Medical University,Jiangsu Province,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院妇科,江苏南京210029 [2]南京医科大学第一附属医院超声诊断科,江苏南京210029

出　　处：《中国医药导报》2020年第31期8-11,共4页China Medical Herald

基　　金：国家自然科学基金资助项目(81401427);南京医科大学教育研究课题(2019LX069)。

摘　　要：目的探讨高频超声及磁共振成像(MRI)检查对冻结肩的诊断价值。方法对2017年12月—2019年7月南京医科大学第一附属医院同时行肩关节超声及MRI的50例患者(共54个患肩)进行回顾性分析,冻结肩以临床确诊为“金标准”,其中冻结肩组29例(30个患肩),非冻结肩组21例(24个患肩)。分析高频超声及MRI对冻结肩的评判指标及诊断效能。结果高频超声和MRI显示,冻结肩组关节囊增厚多于非冻结肩组,差异均有高度统计学意义(均P<0.01)。高频超声诊断冻结肩的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为70.0%、87.5%、77.8%、87.5%、70.0%。MRI诊断冻结肩的敏感性、特异性、准确性、阳性预测值及阴性预测值分别为86.7%、91.7%、88.9%、92.9%、84.6%。结论高频超声检查对冻结肩有较高的应用价值,可以作为诊断冻结肩的重要方法。Objective To explore the diagnostic value of high-frequency ultrasound and magnetic resonance imaging(MRI)in frozen shoulder.Methods Retrospective analysis was performed on 50 patients(totally 54 affected shoulders)who underwent shoulder ultrasound and MRI from December 2017 to July 2019.Frozen shoulder was the“gold standard”for clinical diagnosis,there were 29 cases(30 affected shoulders)in the frozen shoulder group and 21 cases(24 affected shoulders)in the non-frozen shoulder group.The imaging characters and diagnostic efficacy of ultrasound and MRI were analyzed.Results High-frequency ultrasound and MRI showed that the joint capsule thickening in the frozen shoulder group were higher than those in the non-frozen shoulder group,with highly statistically significant differences(all P<0.01).The sensitivity,specificity,accuracy,positive predictive value and negative predictive value of ultrasound diagnosis for frozen shoulder were 70.0%,87.5%,77.8%,87.5%,and 70.0%,respectively;and the sensitivity,specificity,accuracy,positive predictive value and negative predictive value of MRI diagnosis for frozen shoulder were 86.7%,91.7%,88.9%,92.9%,and 84.6%,respectively.Conclusion High-frequency ultrasonic examination has high application value to frozen shoulder and can be used as an important method to diagnose frozen shoulder.

关 键 词：高频超声 冻结肩 磁共振成像 影像诊断 

分 类 号：R686[医药卫生—骨科学]