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高频超声及磁共振成像对肩袖损伤的诊断效果分析

Analysis of the diagnostic effect of high-frequency ultrasound and MRI on rotator cuff injury

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目的 采用高频超声和磁共振(MRI)诊断肩袖损伤,并对两者的诊断效能进行比较,以寻找到能高效诊断肩袖损伤的方法.方法 选择2020年8月至2023年5月期间于焦作市中医院超声科就诊的96例疑似肩袖损伤患者作为观察对象,均行高频超声、MRI检查,并以关节镜检查作为金标准,对2种检查方法的诊断效果进行比较.结果 关节镜检查出88例有肩袖损伤,其中62例有冈上肌腱损伤、12例有冈下肌腱损伤、27例有肩胛下肌腱损伤.高频超声检查出79例有肩袖损伤,其中54例有冈上肌腱损伤、11例有冈下肌腱损伤、23例有肩胛下肌腱损伤.MRI检查出86例有肩袖损伤,其中59例有冈上肌腱损伤、12例有冈下肌腱损伤、24例有肩胛下肌腱损伤.2种方法对肩袖各肌腱损伤的检出率差异无统计学意义(P>0.05).高频超声的诊断灵敏度为86.4%、特异度为62.5%、准确性为84.4%,MRI的诊断灵敏度为95.5%、特异度为75.0%、准确性为93.8%,两者的灵敏度、准确性相比差异有统计学意义(P<0.05).结论 高频超声、MRI对肩袖损伤具有相似的诊断效果,MRI的灵敏度和准确性较高,但高频超声价格便宜,可双侧对比,实时观察,可重复性强.因此建议将高频超声作为肩袖损伤的首选诊断方法.
Objective High-frequency ultrasound and magnetic resonance imaging(MRI)were used to diagnose rotator cuff injuries,and their diagnostic efficacy was compared to find a method that could efficiently diagnose rotator cuff injuries.Methods Ninety-six patients with suspected rotator cuff injuries who attended the ultrasound department of Jiaozuo City Hospital of Traditional Chinese Medicine between August 2020 and May 2023 were selected as observation subjects,all of whom underwent high-frequency ultrasound,MRI examination.Taking arthroscopy as the gold standard,the diagnostic effects of the two examination methods were compared.Results Arthroscopy revealed 88 cases of rotator cuff injuries,including 62 cases of supraspinatus tendon injuries,12 cases of infraspinatus tendon injuries,and 27 cases of subscapularis tendon injuries.High-frequency ultrasound detected 79 cases of rotator cuff injuries,including 54 supraspinatus tendon injuries,11 infraspinatus tendon injuries,and 23 subscapularis tendon injuries;and MRI detected 86 cases of rotator cuff injuries,including 59 supraspinatus tendon injuries,12 infraspinatus tendon injuries,and 24 subscapularis tendon injuries.There was no significant difference in the detection rate of each tendon injury of the rotator cuff between the two methods(P>0.05).The diagnostic sensitivity,specificity and accuracy of high-frequency ultrasound was 86.4%,62.5%and 84.4%,respectively,and the diagnostic sensitivity,specificity and accuracy of MRI was 95.5%,75.0%and 93.8%,respectively.There were significant difference in sensitivity and accuracy compared with that of the two methods(P<0.05).Conclusion High-frequency ultrasound and MRI have certain diagnostic effects on rotator cuff injury,MRI has higher sensitivity and accuracy,but high-frequency ultrasound is cheap,can be compared bilaterally real-time observation,reproducibility,so it is recommended that high-frequency ultrasound be the preferred diagnostic method for rotator cuff injury.

UltrasonographyMagnetic resonance imagingRotator cuff injuriesDiagnosis

孙芹

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焦作市中医院超声科,焦作 454000

超声检查 磁共振成像 回旋套损伤 诊断

2024

实用医技杂志
山西医药卫生传媒集团有限责任公司

实用医技杂志

影响因子:0.534
ISSN:1671-5098
年,卷(期):2024.31(6)