粘连性肩关节囊炎患者喙肱韧带MR测量研究  

MR measurement of coracohumeral ligament in patients with adhesive capsulitis

作　　者：邓秦喆 高洁 张东升 雷晓燕[1] 张小玲[1] 强永乾[2] 李萌 张鑫[1] DENG Qinzhe;GAO Jie;ZHANG Dong sheng;LEI Xiaoyan;ZHANG Xiaoling;QIANG Yongqian;LI Meng;ZHANG Xin(MR Room,Shaanxi Provincial People’s Hospital,Xi’an 710068,China;Department of Medical Imaging,the First Affiliated Hospital of Xi’an Jiaotong University,Xi’an 710061,China;Department of Imaging,Weinan Central Hospital,Weinan,Shaanxi Province 714000,China)

机构地区：[1]陕西省人民医院MR室,陕西西安710068 [2]西安交通大学第一附属医院医学影像科,陕西西安710061 [3]渭南市中心医院影像科,陕西渭南714000

出　　处：《实用放射学杂志》2023年第5期786-789,共4页Journal of Practical Radiology

摘　　要：目的利用MR研究喙肱韧带(CHL)长度和厚度的变化在粘连性肩关节囊炎(AC)诊断中的价值。方法选取经关节镜及临床确诊的AC患者(AC组)80例,200例健康志愿者作为对照组,按性别分为2组分别进行肩关节MRI扫描,选择肩关节斜矢状位和斜冠状位测量各组CHL厚度及长度,并进行统计学分析。结果AC组斜矢状位CHL显示率为76.25%,明显低于对照组,2组比较有统计学差异(P<0.05)。AC组男性患者斜矢状位CHL长度明显高于女性,男性CHL长度为(15.27±2.73)mm,女性CHL长度为(13.52±2.88)mm,差异有统计学意义(P<0.05)。CHL厚度较对照组明显增厚,但男、女性别在厚度上差异无统计学意义。结论斜矢状位是显示肩袖间隙和测量CHL长度和厚度的最佳序列,AC组CHL显示率较对照组低;AC男性患者斜矢状位CHL长度明显高于女性,男、女性患者CHL厚度无性别差别。Objective To study the value of the length and thickness changes of the coracohumeral ligament(CHL)in the diagnosis of adhesive capsulitis(AC)by MRI.Methods Totally,80 patients with arthroscopic and clinically confirmed AC(AC group)were selected.In the meantime,200 healthy volunteers were chosen as the control group,who were divided into two groups by gender for MRI scanning of shoulder joint respectively.Oblique sagittal position and oblique coronal position were measured to check the thickness and length of CHL in each group,and statistical analysis was conducted.Results It turned out that the display rate of the oblique sagittal position of the CHL was 76.25%in the AC group,which was significantly lower than that in the control group in statistics(P<0.05).Moreover,the length of the oblique sagittal position CHL in male patients(15.27±2.73)mm with AC group was significantly higher than that in female patients(13.52±2.88)mm(P<0.05).The thickness of AC group was significantly thicker than that of the control group,but there was no statistical significance in male and female.Conclusion The oblique sagittal position is the best sequence to display the rotator cuff space and measure the length and thickness of the CHL.The CHL display rate is lower in the AC group than in the normal group.The length of the CHL in oblique sagittal position in male patients with AC is significantly higher than that in female patients,while the thickness of the CHL in male and female patients shows no gender difference.

关 键 词：粘连性肩关节囊炎 喙肱韧带 磁共振成像 

分 类 号：R684[医药卫生—骨科学] R445.2[医药卫生—外科学]