摘要
目的 探究多层螺旋CT(MSCT)重建与磁共振成像(MRI)检查用于肩袖损伤患者中的诊断价值.方法 选取以肩部慢性疼痛或者外伤史为主诉且拟行关节镜诊疗的128例患者,以关节镜检查结果为"金标准",对所有患者实施MSCT重建与MRI检查,判断两种方法的诊断效能.结果 MRI与肩关节镜检查结果的一致性中等(Kap-pa=0.59,P＜0.05);MSCT重建与肩关节镜检查结果的一致性中等(Kappa=0.53,P＜0.05);两者联合诊断与肩关节镜检查结果的一致性高(Kappa=0.96,P＜0.05).联合诊断准确率高于MRI检验,亦高于MSCT重建(x2分别=14.94、19.41,P均＜0.05),MRI诊断准确率与MSCT重建相比,差异无统计学意义(x2=0.39,P＞0.05).结论 MRI与MSCT重建两者联合可提高诊断效能,与肩关节镜诊断具有较高一致性.
Abstract
Objective To explore the diagnostic value of MSCT reconstruction and MRI in patients with rotator cuff in-jury.Methods A total of 128 patients with chronic shoulder pain or history of trauma who were scheduled for ar-throscopic diagnosis and treatment were selected.The results of arthroscopic examination was used as the"gold standard".MSCT reconstruction and MRI examination were performed on all patients to evaluate the diagnostic efficacy of the two methods.Results The consistency between MRI and shoulder arthroscopy was general(Kappa=0.59,P＜0.05).The con-sistency between MSCT reconstruction and shoulder arthroscopy was general(Kappa=0.53,P＜0.05).The consistency be-tween the combined diagnosis of the MRI with MSCT and the results of shoulder arthroscopy was high(Kappa=0.96,P＜0.05).The accuracy of combined diagnosis was higher than that of MRI test and MSCT reconstruction(x2=14.94,19.41,P＜0.05).There was no significant difference in the diagnostic accuracy between MRI and MSCT reconstruction(x2=0.39,P＞0.05).Conclusion The combination of MRI and MSCT reconstruction can improve the diagnostic efficiency and has a high consistency with the diagnosis of shoulder arthroscopy.
维普
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