肩袖全层撕裂不同亚型术前超声诊断价值

发布时间：2018-05-15 06:48

本文选题：肩 + 撕裂伤　；参考：《中国临床医学影像杂志》2017年02期

【摘要】：目的:探讨高频超声对肩袖全层撕裂亚型诊断的术前应用价值。方法 :用过高频超声将冈上肌腱全层撕裂分为4型,并与肩关节镜进行对比观察,评价超声诊断冈上肌腱撕裂分型的符合率,并探讨其在临床中的应用价值。结果:本次研究中65例患者的71个肩关节中,超声发现冈上肌腱全层撕裂65个,经手术证实冈上肌腱全层撕裂67个,超声低估撕裂程度3个,高估1个。在67个全层型撕裂中L型27个,全层U型17个(其中双U+L型1个),巨大撕裂15个,新月型8个。超声诊断冈上肌腱全层撕裂的敏感性为95.5%,特异性为75%,总符合率为94.4%。结论:高频超声可以很好的对肩袖全层撕裂进行术前分型,对手术方式的选择具有很高的指导价值。
[Abstract]:Objective: to evaluate the preoperative value of high-frequency ultrasound in the diagnosis of rotator cuff tear subtype. Methods: the full layer tear of supraspinatus tendon was divided into 4 types by ultra high frequency ultrasound and compared with shoulder arthroscopy to evaluate the coincidence rate of ultrasonic diagnosis of supraspinatus tendon tear and to explore its clinical application value. Results: 65 of the 71 shoulder joints of 65 patients were found to have supraspinar tendon tears by ultrasonography. 67 supracondylar tendon tears were proved by operation. Ultrasound underestimated the tear degree by 3 and overestimated 1. Among the 67 full-layer tears, 27 were L-type and 17 full-lamellar U-type (including 1 type of double U-L, 15 of giant tear and 8 of crescent type). The sensitivity and specificity of ultrasound in diagnosis of full-layer tear of supraspinatus tendon were 95.5and 750.The total coincidence rate was 94.4%. Conclusion: high frequency ultrasound can be used to classify the rotator cuff tears before operation, and it has a high guiding value for the choice of surgical methods.
【作者单位】：首都医科大学附属北京潞河医院;
【分类号】：R687.4;R445.1

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