超声对肩袖部分撕裂的诊断价值  

Diagnostic value of ultrasound in partial rotator cuff tears

作　　者：龚志琰 蒲大容[1] 骆杰[1] 姜岚[1] 张奕[1] 马超豪 张勇[1] GONG Zhiyan;PU Darong;LUO Jie;JIANG Lan;ZHANG Yi;MA Chaohao;ZHANG Yong(Department of Utrasound,the First Afiliated Hospital of Chongqing Medical University,Chongqing 400016,China)

机构地区：[1]重庆医科大学附属第一医院超声科,重庆市400016

出　　处：《临床超声医学杂志》2021年第5期396-399,共4页Journal of Clinical Ultrasound in Medicine

基　　金：重庆市卫生适宜技术推广项目(2021jstg011)。

摘　　要：目的探讨超声在肩袖部分撕裂诊断中的价值,分析不同超声征象对肩袖部分撕裂的意义。方法选取我院行肩关节镜手术患者81例,术前均同时行超声和MRI检查,以关节镜检查结果为金标准,比较超声与MRI对肩袖部分撕裂的诊断效能;分析不同超声征象与肩袖部分撕裂的相关性;Logistic回归分析肩袖部分撕裂的影响因素。结果超声与MRI对肩袖部分撕裂和冈上肌肌腱部分撕裂的诊断效能比较差异均无统计学意义。肌腱内低或无回声、肌腱厚度局限性变薄和肱二头肌长头腱腱鞘积液3个征象均与肩袖部分撕裂相关(Φ=0.353、0.339、0.217,P=0.001、0.002、0.045)。Logistic回归分析三者均为预测肩袖部分撕裂的影响因素(OR=8.463、7.658、5.316,P=0.007、0.012、0.047)。结论超声对肩袖部分撕裂有较高的诊断价值,且诊断时应全面结合肌腱内和肌腱外征象。ObjectiveTo investigate the value of ultrasound in the diagnosis of partial rotator cuff tears(PRCTs),and to analyze the significance of different ultrasonic signs on PRCTs.MethodsEighty-one patients were underwent ultrasound and MRI before arthroscopy were enrolled.The arthroscopic results were used as the gold standard to compare the diagnostic efficacy of ultrasound and MRI for PRCTs. Correlation between different ultrasonic signs and PRCTs were analyzed,and the Logistic regression was performed to evaluate the risk factors for PRCTs.Results between ultrasound and MRI in the diagnosis of PRCTs and supraspinatus tendon tear. Hypoechoic or anechoic focus in the tendon,localized thinning of tendon thickness and fluid in the biceps tendon sheath were correlated with PRCTs(Φ =0.353,0.339,0.217,P=0.001,0.002,0.045).Logistic regression analysis showed that all these three factors can predict PRCTs(OR=8.463,7.658,5.316,P=0.007,0.012,0.047).Conclusion and out of the tendon should be both considered at diagnosis.

关 键 词：超声检查 肩袖部分撕裂 诊断 

分 类 号：R445.1[医药卫生—影像医学与核医学] R816.8[医药卫生—诊断学]