肱骨外上髁炎磁共振成像与疼痛的相关性分析  

Correlation Analysis Between Magnetic Resonance Imaging and Pain of External Humerus Epicondylitis

作　　者：张艺娜 郑顺勇 Zhang Yina;Zheng Shunyong(Department of Imaging,Zhangzhou Hospital,Zhangzhou,Fujian 363000)

机构地区：[1]福建省漳州市医院影像科,福建漳州363000

出　　处：《现代医用影像学》2024年第10期1889-1893,共5页Modern Medical Imageology

摘　　要：目的:探讨磁共振成像技术(MRI)在评估肱骨外上髁炎患者中伸肌总腱(CET)损伤严重度与肘关节疼痛症状关联性方面的应用价值。方法:收集38例肱骨外上髁炎患者,回顾性分析其临床及MRI表现,评估伸肌总腱(CET)损伤情况并对相关损伤进行评级,并采用Kappa统计方法检验一致性。结果:在38例患者中,肘关节疼痛按视觉模拟评分量表(VAS)分类为轻度8例、中度22例及重度8例;在MRI检测下,CET损伤分级对应为轻度8例、中度18例及重度12例,两位医生诊断意见经Kappa检验具有一致性。进一步利用Spearman秩相关系数分析显示,VAS疼痛评分与CET损伤等级间存在显著正相关(rs=0.681,P<0.01),表明CET损伤越重,患者的疼痛VAS评分越高。结论:MRI不仅是诊断肱骨外上髁炎的有效工具,而且通过其评估CET损伤程度,能为临床提供关于患者疼痛状况的重要信息,有助于制订更为精准的个体化治疗策略。Objective:To investigate the correlation between the degree of total extensor tendon(CET)injury and elbow pain symptoms in the diagnosis of humeral epicondylitis by magnetic resonance imaging(MRI)analysis.Methods:Thirty-eight patients with humeral epicondylitis were collected and their clinical and MRI presentations were retrospectively analyzed to assess the total extensor tendon(CET)injury and to rate the associated injury,and kappa statistical methods were used to test for consistency.Results:Among 38 patients,elbow pain was graded on VAS,mild in 8 cases,moderate in 22 cases,and severe in 8 cases.According to the MRI performance,the degree of damage to the patient's common extensor tendon(CET)was graded as mild in 8 cases,moderate in 18 cases,and severe in 12 cases,and the diagnostic opinions of the two doctors were consistent by Kappa test.A sprearman correlation analysis was performed between the VAS grading of elbow pain and the degree of total extensor tendon(CET)injury,rs=0.681,P<0.01,and there was a positive correlation between the degree of elbow pain and the degree of total extensor tendon(CET)injury.Conclusion:MRI is nowadays one of the important examinations for the diagnosis of humeral epicondylitis,and the correlation analysis between the grading of the total extensor tendon(CET)injury by MRI and the degree of elbow pain in patients with humeral epicondylitis showed that the more severe the CET injury,the more obvious the degree of pain,which has certain guiding significance for the development of individualized treatment plans for patients.

关 键 词：磁共振成像 肱骨外上髁炎 伸肌总腱损伤 肘关节疼痛 

分 类 号：H31[语言文字—英语]