MRI双斜冠状位扫描与CT对游泳运动致肩关节撞击综合征的诊断分析  

Diagnostic Analysis of MRI Double Oblique Coronal Scanning and CT on Shoulder Impingement Syndrome Caused by Swimming

作　　者：潘杨阳 董春雪 PAN Yangyang;DONG Chunxue(School of Physical Education and Health,Zunyi Medical University,Zunyi 563000,Guizhou,P.R.China;Department of Rehabilitation Medicine,The Second Affiliated Hospital of Qiqihar Medical University,Qiqihar 161000,Heilongjiang,P.R.China)

机构地区：[1]遵义医科大学体育与健康学院,贵州遵义563000 [2]齐齐哈尔医学院附属第二医院康复医学科,黑龙江齐齐哈尔161000

出　　处：《影像科学与光化学》2022年第5期1294-1298,共5页Imaging Science and Photochemistry

摘　　要：本文对比分析磁共振成像(MRI)双斜冠状位扫描与CT在肩关节撞击综合征(SIS)评估中的价值。选取63例游泳运动SIS患者作为观察组,同时选取60例单纯肩袖损伤患者作为对照组,分析MRI双斜冠状位扫描与CT在诊断SIS中的价值差异。MRI诊断SIS的灵敏性、准确性和阴性预测值明显高于CT(P<0.05)。观察组肩峰角明显高于对照组(P<0.05),而肩锁关节成角和肩峰下间隙明显低于对照组(P<0.05)。肩峰角、肩锁关节成角和肩峰下间隙诊断SIS的ROC曲线下面积分别为0.909、0.705和0.702。与CT比较,MRI双斜冠状位扫描在游泳运动SIS中有较高的诊断价值。This study comparatively analyzed the value of magnetic resonance imaging(MRI) double oblique coronal scanning and CT in the evaluation of shoulder impingement syndrome(SIS). 63 SIS patients with swimming exercise were selected as the observation group, and 60 patients with simple rotator cuff injury were selected as the control group, the diagnostic value of MRI double oblique coronal position and CT for SIS were analyzed. The sensitivity, accuracy and negative predictive value of MRI in the diagnosis of SIS were significantly higher than those of CT(P<0.05). The acromial angle in the observation group was significantly higher than that in the control group(P<0.05), the angle of acromioclavicular joint and subacromial space were significantly lower than those in the control group(P<0.05). The areas under the ROC curve of acromion angle, acromioclavicular joint angle and subacromial space in the diagnosis of SIS were 0.909, 0.705 and 0.702, respectively. Compared with CT, MRI double oblique coronal scan has higher diagnostic value in swimming SIS.

关 键 词：磁共振成像 双斜冠状位扫描 计算机断层扫描 肩关节撞击综合征 游泳运动 

分 类 号：R445.2[医药卫生—影像医学与核医学] R816.8[医药卫生—诊断学] R873[医药卫生—临床医学]