喙突下间隙层面MRI影像对原发性冻结肩的诊断价值  

Diagnostic Value of MRI Images of Coracoid-humeral Distance in Primary Frozen Shoulder

作　　者：卢川江 肖睿[2] 李兴波[2] 齐鑫[3] 孙奇 LU Chuan-jiang;XIAO Rui;LI Xing-bo;QI Xin;SUN Qi(North Sichuan Medical College,Nanchong 637000,Sichuan,China;The Second Department of Orthopaedics,the First People’s Hospital of Yibin,Yibin 644000,Sichuan,China;Department of Imaging,the First People’s Hospital of Yibin,Yibin 644000,Sichuan,China)

机构地区：[1]川北医学院,四川南充637000 [2]宜宾市第一人民医院骨二科,四川宜宾644000 [3]宜宾市第一人民医院影像科,四川宜宾644000

出　　处：《医学信息》2023年第23期122-125,共4页Journal of Medical Information

摘　　要：目的探讨喙突下间隙在肩关节磁共振成像(MRI)影像对原发性冻结肩(FS)的诊断价值。方法收集宜宾市第一人民医院2017年1月-2021年12月住院患者肩关节MRI影像学资料,将诊断为原发性FS患者91例作为A组,另随机筛选出临床上未诊断为原发性FS的91例患者作为B组。比较两组肩关节MRI影像学指标[喙突下间隙(CHD)、腋窝关节囊厚度(ARC)、喙肱韧带厚度(CHL)、肩袖间隙厚度(RI)]及不同影像学指标的诊断效能。结果A组ARC、CHL、RI大于B组,CHD小于B组(P<0.05);ROC曲线分析显示,CHL诊断效能最高,其次为ARC、CHD,而RI较差。结论CHD减小可用于原发性FS的诊断,且相比于其他影像学指标,仍有不错的诊断效能,可为以后该疾病的预防、诊断及治疗提供理论依据。Objective To investigate the diagnostic value of coracoid-humeral distance of magnetic resonance imaging(MRI)for primary frozen shoulder(FS).Methods The MRI imaging data of shoulder joint of inpatients in the First People's Hospital of Yibin from January 2017 to December 2021 were collected,91 patients diagnosed as primary FS were selected as group A,and 91 patients who were not clinically diagnosed as primary FS were randomly selected as group B.All patients were examined by MRI.The MRI imaging indexes of shoulder joint[coracoid-humeral distance(CHD),axillary recess capsule thickness(ARC),coracobrachial ligament thickness(CHL),rotator cuff space thickness(RI)]and the diagnostic efficacy of different imaging indexes were compared between the two groups.Results ARC,CHL and RI in group A were higher than those in group B,and CHD was lower than that in group B(P<0.05).ROC curve analysis showed that CHL had the highest diagnostic efficiency,followed by ARC and CHD,while RI was poor.Conclusions CHD reduction can be used for the diagnosis of primary FS,and compared with other imaging indicators,there is still a good diagnostic efficiency,which can provide a theoretical basis for the prevention,diagnosis and treatment of the disease in the future.

关 键 词：冻结肩 喙突下间隙 喙肱韧带 磁共振成像 

分 类 号：R445.2[医药卫生—影像医学与核医学]