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肌骨超声与MRI对肩袖损伤的诊断价值比较

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目的 比较肌骨超声(US)与MRI对肩袖损伤的诊断价值。方法 选取2020年12月至2022年3月于宜兴市人民医院接受治疗的57例疑似肩袖损伤患者作为研究对象,患者术前均接受肌骨US和MRI检查。以肩关节镜为金标准,对肌骨US和MRI检查结果进行McNemer检验,并采用Kappa检验评价肌骨US与MRI对肩袖损伤的诊断一致性。结果 McNemer检验结果显示,肌骨US与MRI检查对肩袖损伤的诊断结果无显著差异(P=1。000),Kappa检验结果表明两者的诊断结果一致性较好(κ=0。846,P=0。000)。结论 肌骨US可作为肩袖损伤诊断的首选检查方法,当肩关节US诊断不明确或外科手术前需要更详细的影像学资料时可以进行MRI检查。
Comparison of diagnostic value of musculoskeletal ultrasound and MRI in rotator cuff injury
Objective To compare the diagnostic value of musculoskeletal ultrasound(US)and MRI in rotator cuff injury.Methods A total of 57 patients with suspected rotator cuff injury who were treated in Yixing People's Hospital from December 2020 to March 2022 were selected as the study objects.All patients underwent musculoskeletal US and MRI examinations before surgery.McNemer test was performed on the results of musculoskeletal US and MRI with shoulder arthroscopy as the gold standard,and Kappa test was used to evaluate the consistency of musculoskeletal US and MRI in the diagnosis of rotator cuff injury.Results McNemer test results showed that there was no significant difference between musculoskeletal US and MRI in the diagnosis of rotator cuff injury(P=1.000),and Kappa test showed that the diagnostic results of the two methods were in good agreement(κ=0.846,P=0.000).Conclusion Musculoskeletal US can be used as the preferred inspection method for the diagnosis of rotator cuff injury.MRI can be performed when the diagnosis of shoulder joint US is not clear or more detailed imaging data are needed before surgery.

rotator cuff injurymusculoskeletal ultrasoundMRI

潘宏华、陈俊、刘磊、周鸣、毛梦姣、翟晨骏

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宜兴市人民医院超声科,江苏宜兴,214221

宜兴市人民医院骨科,江苏宜兴,214221

宜兴市人民医院消化内科,江苏宜兴,214221

肩袖损伤 肌骨超声 核磁共振

国家自然科学基金资助项目无锡市卫生健康委2021年度科研项目

82202716Q202119

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(19)