MRI相关定量参数与退行性肩袖撕裂之间的相关性研究  

Correlation Study Between Quantitative Parameters of MRI and Degenerative Rotator Cuff Tears

作　　者：王腾辉 杜元良[1] 肖天洁[1] 郝佳颖[1] 秦玮 吴迪[1] WANG Tenghui;DU Yuanliang;XIAO Tianjie(The Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China)

机构地区：[1]承德医学院附属医院,河北承德067000

出　　处：《河北医学》2022年第6期974-977,共4页Hebei Medicine

基　　金：河北省医学科学研究课题计划,(编号:20190863)。

摘　　要：目的:探讨MRI相关的定量参数与退行性肩袖撕裂之间的相关性。方法:选取2021年5月至2021年7月于承德医学院附属医院经MRI或肩关节镜检查确诊为退行性肩袖撕裂的患者40例作为病例组,同期40例健康志愿者作为对照组。两组均接受MRI检查,并测量肩峰-大结节撞击指数、肩峰指数和肩胛盂倾斜度。分析两组参数的统计学差异,并对各参数之间进行相关性分析。结果:病例组患者的平均肩峰-大结节撞击指数为0.87±0.04、平均肩峰指数为0.70±0.10、平均肩胛盂倾斜度为13.11度±5.62度,对照组健康志愿者的平均肩峰-大结节撞击指数为0.84±0.05、平均肩峰指数为0.65±0.07、平均肩胛盂倾斜度为10.43度±4.92度,两组差异均有统计学意义(t=2.264、2.301、2.179,P均<0.05)。相关性分析显示,肩峰-大结节撞击指数与肩峰指数和肩胛盂倾斜度均呈低度正相关关系,而肩峰指数和肩胛盂倾斜度呈中度正相关关系(r=0.452、0.283、0.254,P均<0.05)。结论:MRI上测得的肩峰-大结节撞击指数、肩峰指数和肩胛盂倾斜度均可作为预测退行性肩袖撕裂的良好参数。Objective:To analyze the correlation between quantitative parameters related to MRI and degenerative rotator cuff tear.Methods:From May 2021 to July 2021,40 patients with degenerative rotator cuff tear diagnosed by MRI or shoulder arthroscopy in the Affiliated Hospital of Chengde Medical College were selected as the case group,and 40 healthy volunteers as the control group.Both groups were examined by MRI,and measured for the acromion–greater tuberosity impingement index(ATI),acromion index(AI)and glenoid inclination(GI).The statistical differences of the parameters of the two groups were analyzed,and the correlation analysis was carried out between the parameters.Results:The mean ATI,AI and GI was 0.87±0.04,0.70±0.10,13.11°±5.62°in the case group.And the mean ATI,AI and GI was 0.84±0.05,0.65±0.07,10.43°±4.92°in the control group.There were significant differences between the two groups(t=2.264,2.301,2.179,P<0.05).And the correlation analysis showed that ATI was positively correlated with AI and GI,while AI and GI had a moderate positive correlation(r=0.452,0.283,0.254,P<0.05).Conclusion:ATI,AI and GI measured with MRI can be used as good parameters for predicting degenerative rotator cuff tears.

关 键 词：肩关节 肩袖撕裂 肩峰-大结节撞击指数 肩峰指数 磁共振成像 

分 类 号：R68[医药卫生—骨科学]