文章摘要
不同影像学检查方法在肩袖撕裂中的诊断效能比较
Diagnostic efficacy of different imaging methods in rotator cuff tears
投稿时间:2024-04-17  
DOI:10.3969/j.issn.1000-0399.2025.02.006
中文关键词: 肩袖撕裂  高频超声  超声弹性成像  磁共振成像  诊断
英文关键词: Rotator cuff tear  High-frequency ultrasound  Ultrasound elastography  Magnetic resonance imaging  Diagnosis
基金项目:
作者单位
夏玉光 572000 海南三亚 南部战区海军第二医院特诊科 
王君莹 572000 海南三亚 南部战区海军第二医院特诊科 
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中文摘要:
      目的 比较高频超声、超声弹性成像(UE)及磁共振成像(MRI)在军事训练所致肩袖撕裂中的诊断效能。方法 回顾性分析2019年2月至2024年2月南部战区海军第二医院收治的107例疑似肩袖撕裂患者临床资料,所有患者均行高频超声、UE及MRI检查,以肩关节镜检查为金标准,采用 Kappa 检验分析 3 者在军事训练所致肩袖撕裂中的诊断价值。结果 经肩关节镜检查,107例患者中,全层撕裂、部分撕裂、非肩袖撕裂分别为30例、49例、28例。高频超声检查结果显示:全层撕裂、部分撕裂、非肩袖撕裂分别 35例、53例、19例,诊断 Kappa值为 0.649;UE检查结果显示:全层撕裂 34例,部分撕裂 42例,非肩袖撕裂 31例,诊断 Kappa值为0.840;MRI检查结果显示:全层撕裂、部分撕裂、非肩袖撕裂分别为32例、57例、18例,诊断Kappa值为0.727。结论 高频超声、UE、MRI在军事训练所致肩袖撕裂中诊断效能较好,但以UE最佳。
英文摘要:
      Objective To explore the diagnostic efficacy of high-frequency ultrasound, UE and MRI in rotator cuff tears caused by military training. Methods A retrospective analysis was conducted on the clinical data of 107 patients with suspected rotator cuff tears who were admitted to the Second Navy Hospital of Southern Theater Command of PLA from February 2019 to February 2024. All patients underwent high-frequency ultrasound, UE and MRI. Shoulder arthroscopy was taken as the gold standard to evaluate the diagnostic value of the three in rotator cuff tears caused by military training. Results Among 107 patients, shoulder arthroscopy found full-thickness rotator cuff tears, partial thickness rotator cuff tears and non-rotator cuff tears in 30 cases, 49 cases and 28 cases, respectively. The corresponding number of cases found by high-frequency ultrasound was 35, 53 and 19, respectively (Kappa value=0.649). The number of cases found by UE was 34, 42 and 31, respectively (Kappa value=0.840). The corresponding number of cases found by MRI was 32, 57 and 18, respectively (Kappa value=0.727). Conclusion All of the three methods mentioned above demonstrate good efficacy in diagnosing rotator cuff tears caused by military training, and diagnostic efficacy of UE is the best.
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