肩关节囊内韧带MRI定量参数对早期肩周炎的诊断价值  

Diagnostic Value of MRI Quantitative Parameters of Intracapsular Ligament of the Shoulder Joint for Early Shoulder Periarthritis

作　　者：毕慧 朱俊琛[2] 周岱磐 江功远 孙道东[1] 唐廷权 BI Hui;ZHU Jun-chen;ZHOU Dai-pan;JIANG Gong-yuan;SUN Dao-dong;TANG Ting-quan(Department of Medical Imaging,The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,AnHui Province,China;Department of Orthopedics,The Second Affiliated Hospital of Anhui University of Traditional Chinese Medicine,Hefei 230061,AnHui Province,China)

机构地区：[1]安徽中医药大学第二附属医院影像中心,安徽合肥230061 [2]安徽中医药大学第二附属医院骨一科,安徽合肥230061

出　　处：《中国CT和MRI杂志》2024年第5期155-157,共3页Chinese Journal of CT and MRI

基　　金：安徽省“十四五”省级中医特色专科,皖中医药服务秘〔2021〕71号。

摘　　要：目的肩关节囊内韧带MRI定量参数对早期肩周炎的诊断价值。方法回顾性分析我院30例临床诊断为肩周炎患者的MRI平扫表现,并选取30例无肩周炎患者作为对照组,记录两组盂肱上韧带(SGHL),喙肱韧带(CHL)和盂肱下韧带(IGHL)厚度,比较两组是否有统计学差异。结果早期肩周炎组SGHL、CHL和IGHL厚度(2.48±0.51mm,2.64±1.06 mm,5.38±1.57 mm)厚于对照组(1.78±0.34 mm,1.57±0.43 mm,3.40±0.37 mm),两组比较有统计学差异(P<0.05)。SGHL、CHL和IGHL厚度ROC曲线下面积(AUC)值为0.888,0.808和0.894;SGHL厚度大于2.22mm,敏感度76.7%,特异性93.3%;CHL厚度大于2.0mm,敏感度70%,特异性86.7%;IGHL厚度超过4.04mm,敏感度83.3%,特异性100%。结论SGHL(>2.22mm)、CHL(>2.0mm)和IGHL(>4.04mm)增厚有助于早期肩周炎诊断。Objective Diagnostic value of MRI quantitative parameters of intracapsular ligament of the shoulder joint for early shoulder periarthritis.Methods We retrospectively analyzed the MRI scanning manifestations of 30 patients with clinically diagnosed shoulder periarthritis in our hospital,and selected 30 patients without shoulder periarthritis as the control group,recorded the thickness of the superior glenohumeral ligament(SGHL),the rostro-humeral ligament(CHL),and the thickness of the inferior glenohumeral ligament(IGHL)in the two groups,and compared whether there was a statistically significant difference between the two groups.Results The thickness of superior glenohumeral ligament(SGHL),rostro-humeral ligament(CHL)and inferior glenohumeral ligament(IGHL)in the group with early stage of shoulder periarthritis(2.48±0.51mm,2.64±1.06mm,5.38±1.57mm)was thicker than that of the control group(1.78±0.34mm,1.57±0.43mm,3.40±0.37mm),and there was a statistically significant difference in the comparison of the two groups(P<0.05).The thickness of the SGHL,CHL and IGHL ROC area under the curve(AUC)values were 0.888,0.808,and 0.894,respectively.SGHL thickness greater than 2.22 mm had a sensitivity of 76.7%and a specificity of 93.3%;CHL thickness greater than 2.0 mm had a sensitivity of 70%and a specificity of 86.7%;and IGHL thickness over 4.04 mm had a sensitivity of 83.3%and 100%specificity.Conclusion Thickening of SGHL(greater than 2.22mm),CHL(greater than 2.0mm),and IGHL(greater than 4.04mm)is helpful for the early diagnosis of shoulder periarthritis.

关 键 词：磁共振平扫 肩周炎 盂肱上韧带 

分 类 号：R445.2[医药卫生—影像医学与核医学] R684.3[医药卫生—诊断学]