MRI影像指标与冻结肩患者关节镜治疗短期效果的关系  

Relationship between MRI parameters and short-term efficacy of arthroscopic treatment in patients with frozen shoulder

作　　者：罗汉辉[1] 游芳松[1] 敖虹雨 LUO Hanhui;YOU Fangsong;AO Hongyu(Department of Radiology,Fengcheng Hospital of Traditional Chinese Medicine,Jiangxi Province,Fengcheng 331199,China)

机构地区：[1]江西省丰城市中医院放射科,江西丰城331199

出　　处：《中国当代医药》2024年第25期87-90,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202410950)。

摘　　要：目的分析MRI影像指标与冻结肩(FS)患者关节镜治疗短期效果的关系。方法选取2023年1月至12月丰城市中医院82例FS患者作为研究对象,所有患者均接受关节镜下360°关节囊松解治疗,治疗后3个月依据疗效评估结果将无效患者纳入观察组,将有效患者纳入对照组,比较两组患者治疗前MRI影像学指标。采用Spearman相关性分析MRI影像参数与FS患者短期疗效的相关性。结果治疗后,60例(73.17%)患者的肩关节功能及疼痛得到有效改善,而22例(26.83%)患者治疗无效。观察组治疗前关节囊水肿、肩袖间隙水肿及喙肱韧带(CHL)水肿、CHL厚度、肩袖间隙关节囊厚度、关节囊积液程度、冈上肌(SSP)回缩距离、肩胛下肌(SSC)肌腱撕裂比例高于对照组,差异有统计学意义(P<0.05);两组患者喙突下脂肪三角、肩部滑囊、SSP肌腱撕裂、ISP肌腱撕裂比较,差异无统计学意义(P>0.05)。FS患者MRI影像的CHL厚度、关节囊积液程度、SSC肌腱撕裂与关节镜治疗无效呈正相关(P<0.05)。结论MRI影像指标与FC患者的关节镜短期疗效有一定关系,在其疗效评估中有一定临床价值。Objective To analyze the relationship between MRI parameters and the short-term efficacy of arthroscopic treatment in patients with frozen shoulder(FS).Methods A total of 82 patients with FS in Fengcheng Hospital of Traditional Chinese Medicine from January to December 2023 were selected as the study subjects.All patients received 360°joint capsule release treatment under arthroscopy.After three months after treatment,ineffective patients were included in the observation group and effective patients were included in the control group according to the efficacy evaluation results.Spearman correlation analysis was used to analyze the correlation between MRI parameters and short-term efficacy of FS patients.Results After treatment,the shoulder joint function and pain of 60 patients(73.17%)were effectively improved,while 22 patients(26.83%)were ineffective.Anterior articular capsule edema,rotator cuff space edema,coracohumeral ligament(CHL)edema,CHL thickness,capsular space thickness,capsular fluid accumulation degree,musculi supraspinatus(SSP)retract distance and subscapularis(SSC)tendon tear ratio in observation group were higher than those of control group,with statistical significances(P<0.05).There were no significant differences in subcoracoid fat triangle,shoulder bursae,SSP tendon tear and ISP tendon tear between two groups(P>0.05).The CHL thickness,the degree of capsular effusion and the tendon tear of SSC in MRI images of FS patients were positively correlated with the ineffective arthroscopic treatment(P<0.05).Conclusion MRI parameters have certain relationship with the short-term efficacy of arthroscopy in FC patients,and have certain clinical value in the evaluation of its effect.

关 键 词：MRI 影像指标 冻结肩 关节镜 短期疗效 关系 

分 类 号：R684[医药卫生—骨科学]