肩峰下撞击综合征磁共振可量化指标的探讨与分析

发布时间：2018-02-27 01:33

本文关键词： 肩峰下撞击综合征磁共振成像肩峰角喙肩韧带肩肱间距　出处：《临床放射学杂志》2015年08期 　论文类型：期刊论文

【摘要】：目的分析肩峰角、喙肩韧带厚度、肩肱间距、肩峰下囊积液、肱骨头囊变及肩锁关节骨赘的形成与肩峰下撞击综合征之间的关系。方法 109例因肩关节痛来院就诊患者,均行MRI检查并测量MRI中各项指标数值。其中肩峰下撞击综合征患者57例,对照组52例。统计学分析方法包括两个样本K-S检验,独立样本t检验及Pearsonχ2检验。利用SPSS 17.0软件对肩峰角、喙肩韧带及肩肱间距三组数据做ROC曲线获得各组数据的最佳临界值及其敏感性和特异性。结果肩峰角、喙肩韧带厚度、肩肱间距、喙肩韧带骨赘形成对肩峰下撞击综合征的诊断均有价值,其中最具敏感性及特异性的为肩峰角(敏感性80.7%,特异性92.3%)。撞击组肩袖损伤(87.7%),对照组(53.8%)。结论肩峰角、喙肩韧带厚度、肩肱间距、喙肩韧带骨赘形成及肩袖损伤与肩峰下撞击综合征之间关系密切。
[Abstract]:Objective to analyze the relationship between acromion angle, thickness of coracoacromion ligament, acromiohumeral spacing, subacromial sac effusion, humeral head cysts and osteophyte formation of acromioclavicular joint. Methods 109 patients with shoulder joint pain were treated in our hospital. All of them were examined by MRI and measured in MRI, including 57 patients with subacromial impingement syndrome and 52 patients in control group. The statistical analysis included two samples of K-S test. T test and Pearson 蠂 2 test. The best critical value, sensitivity and specificity of each group were obtained by ROC curve with SPSS 17.0 software. Results the acromion angle and coracoacromion ligament thickness were obtained. The distance between shoulder and brachium and osteophyte formation of coracoacromial ligament are valuable in the diagnosis of subacromian impingement syndrome, among which the most sensitive and specific is the acromion angle (sensitivity 80.7, specificity 92.33N). In the impact group, the rotator cuff injury is 87.7 and the control group is 53.80.Conclusion the acromion angle is the most sensitive and specific. Coracoacromion ligament thickness, shoulder-humeral spacing, osteophyte formation of coracoacromion ligament and rotator cuff injury were closely related to subacromial impingement syndrome.
【作者单位】：青岛大学附属医院放射科;青岛大学附属医院关节外科;
【分类号】：R684;R445.2

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