肌骨超声与磁共振成像诊断肩袖撕裂的对比分析  

Comparative Analysis of Musculoskeletal Ultrasonography and Magnetic Resonance Imaging in the Diagnosis of Rotator Cuff Tears

作　　者：黄彦 吴润柏 陈桂武 甘珍 全叶青 李文冉 吴现唯 马利亚[1] HUANG Yan;WU Run-bai;CHEN Gui-wu;GAN Zhen;QUAN Ye-qing;LI Wen-ran;WU Xian-wei;MA Li-ya(Ultrasound Department of Dongguan People's Hospital,Dongguan 523059,Guangdong Province,China;Orthopedics Department of Dongguan People's Hospital,Dongguan 523059,Guangdong Province,China)

机构地区：[1]东莞市人民医院超声科,广东东莞523059 [2]东莞市人民医院骨科,广东东莞523059

出　　处：《中国CT和MRI杂志》2024年第10期158-161,共4页Chinese Journal of CT and MRI

基　　金：东莞市社会发展科技项目(20211800902953)。

摘　　要：目的 比较分析肌骨超声和磁共振成像在诊断肩袖撕裂中的作用。方法收集2021年2月至2022年2月在东莞市人民医院收治的43例怀疑肩袖撕裂患者。结果超声、MRI和联合检查在不同类型肩袖撕裂的诊断中均存在显著差异性。超声、MRI和联合检查对冈上肌腱部分或全层撕裂、肱二头肌长头腱病变、盂肱关节腔积液或滑膜增生、肩峰下-三角肌下滑囊炎及肩峰下撞击综合征阳性的诊断准确度分别为62.79%、86.04%、65.12%、53.49%、90.7%、67.44%,37.21%、72.09%、84.21%、94.74%、89.47%、50%和60.46%、86.04%、81.4%、83.7%、100%、72.1%。绘制ROC曲线,超声、MRI及联合检查显示冈上肌腱部分和全层撕裂的AUC分别为0.613、0.687、0.596和0.842、0.684、0.842。结论对于怀疑冈上肌腱全层撕裂的患者,可采用超声为首选影像学方法。联合检查可以提升肩峰下-三角肌下滑囊炎和肩峰下撞击综合征阳性的诊断能力。Objective This study aimed to compare musculoskeletal ultrasonography(US) with Magnetic Resonance Imaging(MRI) for the diagnosis of rotator cuff tears.Methods A total of 43 patients with suspected rotator cuff tea rs were analyzed from February 2021 to Februa ry 2022 at Dongguan People's Hospital.Results There were significant difference between US,MRI,and the combined US with MRI examinations in different degrees of tendon tears.The positive diagnostic accuracy of US,MRI and the combined US with MRI exa minations for partial-thickness or full-thickness tea rs of supraspinatus tendon,lesions of the long head tendon of the biceps brachii,fluid accumulation or synovial hyperplasia in the glenoid humeral joint cavity,subacromial deltoid bursitis,and subacromial impingement syndrome was 62.79%,86.04%,65.12%,53.49%,90.7% and 67.44%,respectively,as compared with that of MRI(37.21%,72.09%,84.21%,94.74%,89.47% and 50%,respectively) and(60.46%,86.04%,81.4%,83.7%,100% and 72.1%,respectively).Drawing ROC curves,US,MRI,and combined examinations showed AUC of 0.613,0.687,and 0.596 for partial tear of the supraspinatus tendon,respectively;US,MRI,and combined examination showed AUC of 0.842,0.684,and 0.842 for full-thickness tear of the supraspinatus tendon,respectively.Conclusion For patients with suspected full-thickness tears of supraspinatus tendon,ultrasound may be the preferred imaging method.The combined examination could improve the diagnostic ability of subacromial deltoid bursitis and subacromial impingement syndrome to further guide surgical treatment.

关 键 词：对比分析 超声 磁共振成像 肩袖撕裂 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]