摘要
目的 探究肩袖损伤行磁共振成像(MRI)间接造影技术对关节内结构异常诊断评估的价值。方法收集2022年10月至2023年9月经关节镜检查证实的肩袖损伤106例患者资料,关节镜检查前均接受MRI平扫和MRI肩关节间接造影,以关节镜检查结果为“金标准”,评价MRI间接造影结束对关节内结构异常的诊断价值。结果 106例患者经关节镜检查证实肩袖变性6例、肩袖部分撕裂47例、肩袖完全撕裂32例、肩袖撕裂合并盂唇损伤21例;MRI肩关节间接造影检查正确检出肩袖变性6例、肩袖部分撕裂43例、肩袖完全撕裂30例、肩袖撕裂合并盂唇损伤21例,MRI间接造影技术检查对肩袖撕裂合并盂唇损伤的诊断准确率为100%,对袖损伤关节内结构异常的总体准确率为94.34%,均显著高于MRI平扫的76.19%和84.90%,差异有统计学意义(P<0.05)。结论肩袖损伤患者接受MRI间接造影技术对关节内结构异常具有较高诊断准确性,值得临床推广。
Objective To explore the value of magnetic resonance imaging(MRI)indirect angiography in the diagnosis and evaluation of intra-articular structural abnormalities in rotator cuff injury.Methods 106 patients with rotator cuff injury confirmed by arthroscopy were selected from October 2022 to September 2023.All patients underwent MRI plain scan and MRI shoulder indirect angiography before arthroscopy.The arthroscopy result was used as the gold standard to evaluate the diagnostic value of MRI indirect angiography on intra-articular structural abnormalities.Results Among the 106 patients,arthroscopy confirmed 6 cases of rotator cuff degeneration,47 cases of partial rotator cuff tea r,32 cases of complete rotator cuff tea r,and 21cases of rotator cuff tear with labial lesion.MRI shoulder indirect angiography correctly detected6 cases of rotator cuff degeneration,43 cases of partial rotator cuff tear,30 cases of complete rotator cuff tear and 21 cases of rotator cuff tear with labial lesion.The diagnostic accuracy rate of MRI indirect angiography for rotator cuff tear with labial lesion and the overall accuracy rate of intra-articular structural abnormalities in rotator cuff injury were 100%and 94.34%,which were significantly higher than 76.19%and 84.90%of MRI plain scan(P<0.05).Conclusion MRI indirect angiography in patients with rotator cuff injury has high diagnostic accuracy on intraarticular stru ctural abnormalities.
作者
顾丹红
万聚亮
田庆华
方统磊
旷钦
GU Dan-hong;WAN Ju-liang;TIAN Qing-hua;FANG Tong-lei;KUANG Qin(Department of Radiology,Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University,Shanghai 210306,China)
出处
《中国CT和MRI杂志》
2025年第1期162-164,共3页
Chinese Journal of CT and MRI
基金
上海市卫生健康委员会科研课题计划(202040340)。
关键词
磁共振成像间接造影技术
肩袖损伤
关节内结构异常
诊断
Magnetic Resonance Imaging Indirect Angiography
Rotator Cuff Injury
Intra-articular Structural Abnormalities
Diagnosis
