X线与MRI对肩袖钙化性肌腱炎的诊断价值  

Value of X-ray and MRI in the diagnosis of rotator cuff calcific tendinitis

作　　者：潘小磊[1] 冯谊[1] 张建保[1] Pan Xiaolei;Feng Yi;Zhang Jianbao(Department of Radiology,Zhengzhou Orthopedic Hospital,Zhengzhou 450052,China)

机构地区：[1]郑州市骨科医院放射科,郑州450052

出　　处：《中国实用医刊》2022年第8期80-82,共3页Chinese Journal of Practical Medicine

摘　　要：目的探讨X线与磁共振成像(MRI)对肩袖钙化性肌腱炎的诊断价值。方法抽取2018年1月至2020年12月郑州市骨科医院经临床确诊且均接受X线与MRI检查的52例肩袖钙化性肌腱炎患者,分析并比较其检查结果。结果X线检查大部分可见钙化灶;MRI检查结果显示T2加权成像(T2WI)、质子密度加权成像(PDWI)多为低信号,T1加权成像为低信号。不同肌腱部位钙化灶在MRI诊断长短径上比较差异未见统计学意义(P>0.05)。X线诊断肩袖钙化性肌腱炎的符合率为86.54%(45/52),MRI诊断符合率为94.23%(49/52),差异未见统计学意义(P>0.05)。结论肩袖钙化性肌腱炎应用X线与MRI诊断均有较高的价值,但X线因体位、骨重叠等导致其有漏诊可能,而MRI可结合T2WI、PDWI等多序列扫描综合评估,为临床提供更多的参考依据。Objective To investigate the value of X-ray and magnetic resonance imaging(MRI)in the diagnosis of rotator cuff calcific tendinitis.Methods A total of 52 patients with rotator cuff calcified tendinitis diagnosed and examined by X-ray and MRI from January 2018 to December 2020 in Zhengzhou Orthopedic Hospital were included.And the examination results were analyzed and compared.Results Most of the calcifications can be seen in X-ray diagnosis,while results of MRI diagnosis showed common low signal in T2-weighted image(T2WI)and proton density weighted imaging(PDWI),and low signal in T1-weighted image.There was no significatn difference in long and short diameters of calcifications of different tendon sites according to MRI diagnosis(P>0.05).The coincidence rate of X-ray diagnosis was 86.54%(45/52),and the diagnostic coincidence rate of MRI was 94.23%(49/52),and the difference was not statistically significant(P>0.05).Conclusions X-ray and MRI have good value in the diagnosis of rotator cuff calcific tendinitis,but X-ray may miss the diagnosis due to body position and bone overlap.However,MRI in combination of T2WI and PDWI can provide more reference.

关 键 词：肩袖 钙化性肌腱炎 X线 磁共振成像 钙化灶长短径 诊断价值 

分 类 号：R686.1[医药卫生—骨科学] R445.2[医药卫生—外科学] R816.8[医药卫生—临床医学]