探讨肩峰MRI的影像学表现及与冈上肌、冈下肌损伤的临床关系  

To Investigate the MRI Findings of Acromion and Its Clinical Relationship with Supraspinatus and Infraspinatus Muscle Injuries

作　　者：郑凌 翁武彪 林淑茗 ZHENG Ling;WENG Wu-biao;LIN Shu-ming(Department of Imaging,Fuzhou Second General Hospital Neuropsychiatric Hospital,Fujian Fuzhou 350007)

机构地区：[1]福州市第二总医院神经精神病防治院影像科,福建福州350007

出　　处：《中国医疗器械信息》2024年第10期127-130,共4页China Medical Device Information

摘　　要：目的:探究与分析肩峰MRI的影像学表现及与冈上肌、冈下肌损伤的临床关系。方法:选取2020年2月~2022年6月自本院收治的肩峰撞击综合征患者65例作为观察组,60例无肩峰撞击综合征人员作为对照组。采用肩峰MRI对两组人员的影像学表现,观察及对比肩峰MRI诊断时冈上肌、冈下肌损伤的发生率;按照肩峰撞击综合征周围骨髓水肿以及错位的情况分为水肿型以及非水肿型;按照是否存在错位的情况分为错位型以及无错位型;同样对比肩峰MRI诊断时冈上肌、冈下肌损伤的发生率。结果:观察组与对照组肩袖撕裂伤、冈上肌、冈下肌损伤率比较,差异无统计学意义(P>0.05)。水肿型与无水肿型的冈上肌、冈下肌损伤率比较,差异无统计学意义(P>0.05)。无错位型与错位型比较冈上肌撕裂伤以及冈下肌撕裂伤比例均较低,差异有统计学意义(P<0.05)。结论:采用肩峰MRI诊断肩峰撞击综合征具有一定的应用价值,水肿型或错位型肩峰撞击综合征一定程度上容易增加冈上肌、冈下肌撕裂伤的发生风险。Objective:To explore and analyze the imaging findings of acromion MRI and its clinical relationship with supraspinatus and infraspinatus muscle injuries.Methods:Our hospital from February 2020 to June 2022 were the acromion impingement of 65 cases of patients as observation group and 60 cases of no acromion impingement as control group.The acromion MRI imaging findings of two groups,observation and to match the peak when MRI diagnosis of the supraspinatus and infraspinatus injury incidence;According to the bone marrow edema and dislocation around acromial impingement syndrome,it is divided into edema type and non-edema type.According to the presence or absence of dislocation,they were divided into dislocation type and non-dislocation type.The incidence of supraspinatus and infraspinatus injuries at the time of acromial MRI diagnosis was also compared.Results:There was no significant difference in the incidence of rotator cuff tears,supraspinatus muscle injury,and infraspinatus muscle injury between the observation group and the control group(P>0.05).There was no significant difference in the injury rate of supraspinatus and infraspinatus between the edema type and the non-edema type(P>0.05).The proportion of supraspinatus muscle lacerations and infraspinatus muscle lacerations in the non-malposition type was lower than that in the wrong type,and the difference was statistically significant(P<0.05).Conclusion:Acromial MRI has a certain application value in the diagnosis of acromial impingement syndrome,edema-type or dislocated-type shoulder impingement syndrome can to some extent increase the risk of supraspinatus and infraspinatus muscle tears.

关 键 词：肩峰MRI 影像学表现 冈上肌 冈下肌 损伤 应用价值 

分 类 号：R445.2[医药卫生—影像医学与核医学]