摘要
目的 探讨肩关节上盂唇前后部(SLAP)损伤患者采用磁共振(MRI)与MR关节造影的诊断效果。方法 选择126例肩部疼痛患者作为研究对象,其中62例经关节镜手术证实肩关节上盂唇前后部损伤。以关节镜检查为金标准,统计MRI与MR关节造影诊断结果,比较MRI与MR关节造影对肩部上盂唇前后部损伤的诊断价值,分析MRI与MR关节造影诊断不同分型的结果。结果 MRI诊断检出60例肩关节上盂唇前后部损伤,MR关节造影诊断61例肩关节上盂唇前后部损伤。MR关节造影对肩部上盂唇前后部损伤灵敏度、特异度及准确度(93.55%、95.31%、94.44%)均高于MRI检查(80.65%、84.38%、82.54%)(P<0.05)。MRI与关节镜检查均为阳性的35例患者中,关节镜检查结果为I型11例、II型19例、III型3例、IV型2例;MRI诊断结果为I型16例、II型13例、III型5例、IV型1例。MR关节造影与关节镜检查均为阳性的35例患者中,关节镜检查结果为I型12例、II型17例、III型3例、IV型3例;MR关节造影诊断结果为I型14例、II型14例、III型5例、IV型2例。结论 MRI及MR关节造影对肩关节上盂唇前后部损伤的检出情况相似,肩关节上盂唇前后部损伤中I型及II型较为常见,与MRI检查比较,MR关节造影对肩关节上盂唇前后部损伤的诊断价值较高,在常规MRI无法明确肩关节上盂唇前后部损伤时,临床可通过MR关节造影加以诊断。
Objective To explore the diagnostic efficacy of magnetic resonance imaging(MRI)and MR arthrography in patients with superior labrum anterior and posterior(SLAP)lesions of the shoulder joint.Methods 126 patients with shoulder pain were selected as the research subjects,of which 62 cases were confirmed to have SLAP lesions of the shoulder joint by arthroscopic surgery.Using arthroscopy as the gold standard,the diagnostic results of MRI and MR arthrography were statistically analyzed,and the diagnostic values of MRI and MR arthrography for SLAP lesions of the shoulder joint were compared;The results of MRI and MR arthrography in diagnosing different subtypes were analyzed.Results MRI and MR arthrography diagnosed 60 and 61 cases of SLAP lesions of the shoulder joint,respectively.The sensitivity,specificity,and accuracy(93.55%,95.31%,94.44%)of MR arthrography for SLAP lesions of the shoulder joint were higher than those of MRI examination(80.65%,84.38%,82.54%)(P<0.05).Among the 35 patients who tested positive for MRI and arthroscopy,the results of arthroscopic examination showed that type I,type II,type III and type IV were 11 cases,19 cases,3 cases and 2 cases,respectively;The MRI diagnosis results showed that type I,type II,type III and type IV were 16 cases,13 cases,5 cases and 1 case,respectively.Among the 35 patients who tested positive for both MR arthrography and arthroscopy,the results of arthroscopic examination showed that type I,type II,type III and type IV were 12 cases,17 cases,3 cases and 3 cases,respectively;The diagnostic results of MR arthrography showed that type I,type II,type III and type IV were 14 cases,14 cases,5 cases and 2 cases,respectively.Conclusion MRI and MR arthrography have similar detection results for SLAP lesions of the shoulder joint.Type I and II are more common in SLAP lesions of the shoulder joint,while compared with MRI examination,MR arthrography has higher diagnostic value for SLAP lesions of the shoulder joint.When conventional MRI can not determine whether there were SLAP lesions of the shoulder joint,clinical diagnosis can be made through MR arthrography.
作者
周杨
张帆
陈首名
朱媛媛
韦章诚
尹婷
ZHOU Yang;ZHANG Fan;CHEN Shouming;ZHU Yuanyuan;WEI Zhangcheng;YIN Ting(Imaging Center,Department of Radiology,Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine,Panzhihua 617000,China;Department of Shoulder and Elbow Surgery,Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine,Panzhihua 617000,China;Department of Rehabilitation,Panzhihua Hospital of Integrated Traditional Chinese and Western Medicine,Panzhihua 617000,China)
出处
《长春中医药大学学报》
2025年第2期194-198,共5页
Journal of Changchun University of Chinese Medicine
基金
2019年度四川省卫生健康科研课题普及项目(19PJ227)
攀枝花市科学技术局项目(2023ZD-S-20)。
关键词
磁共振
造影
肩关节
上盂唇前后部
损伤
诊断价值
magnetic resonance imaging
imaging
shoulder joint
superior labrum anterior and posterior
damage
diagnostic value
