中国中西医结合影像学杂志
中國中西醫結閤影像學雜誌
중국중서의결합영상학잡지
CHINESE IMAGING JOURNAL OF INTEGRATED TRADITIONAL AND WESTERN MEDICINE
2014年
2期
144-146
,共3页
肩撞击综合征%磁共振成像%放射摄影术
肩撞擊綜閤徵%磁共振成像%放射攝影術
견당격종합정%자공진성상%방사섭영술
Shoulder impingement syndrome%Magnetic resonance imaging%Radiography
目的：探讨肩关节冈上肌出口位X线摄影所示肩峰形态、肩峰下间隙与肩峰下撞击综合征（shoulder impingement syndrome ，SIS）的相关性，总结其临床应用价值。方法：回顾性分析60例经临床证实的SIS患者的临床及影像资料，对X线摄影所示的肩峰形态及肩峰下间隙进行分型、测量，并与M RI所见进行对照，分析肩峰形态及肩峰下间隙与SIS的相关性。结果：60例患者中，肩峰平坦形（Ⅰ型）8例、弧形（Ⅱ型）10例、钩状（Ⅲ型）42例。冈上肌出口位X线摄影所示肩峰下间隙为（1.21±0.36）cm ，M RI所示肩峰下间隙值为（1.10±0.18）cm ，两者差异无统计学意义（ P＞0.05）。肩袖损伤 M RI分级Ⅰ级27例，Ⅱ级20例，Ⅲ级13例。肩峰下间隙值与肩袖损伤M RI分级呈正相关（ P＜0.05）。结论：肩关节冈上肌出口位X线摄影所示肩峰形态、肩峰下间隙与SIS发生密切相关；当肩峰形态为钩状及肩峰下间隙值＜1 cm ，强烈提示 SIS可能，对于无M RI的基层医院诊断SIS临床意义明显，值得临床应用。
目的：探討肩關節岡上肌齣口位X線攝影所示肩峰形態、肩峰下間隙與肩峰下撞擊綜閤徵（shoulder impingement syndrome ，SIS）的相關性，總結其臨床應用價值。方法：迴顧性分析60例經臨床證實的SIS患者的臨床及影像資料，對X線攝影所示的肩峰形態及肩峰下間隙進行分型、測量，併與M RI所見進行對照，分析肩峰形態及肩峰下間隙與SIS的相關性。結果：60例患者中，肩峰平坦形（Ⅰ型）8例、弧形（Ⅱ型）10例、鉤狀（Ⅲ型）42例。岡上肌齣口位X線攝影所示肩峰下間隙為（1.21±0.36）cm ，M RI所示肩峰下間隙值為（1.10±0.18）cm ，兩者差異無統計學意義（ P＞0.05）。肩袖損傷 M RI分級Ⅰ級27例，Ⅱ級20例，Ⅲ級13例。肩峰下間隙值與肩袖損傷M RI分級呈正相關（ P＜0.05）。結論：肩關節岡上肌齣口位X線攝影所示肩峰形態、肩峰下間隙與SIS髮生密切相關；噹肩峰形態為鉤狀及肩峰下間隙值＜1 cm ，彊烈提示 SIS可能，對于無M RI的基層醫院診斷SIS臨床意義明顯，值得臨床應用。
목적：탐토견관절강상기출구위X선섭영소시견봉형태、견봉하간극여견봉하당격종합정（shoulder impingement syndrome ，SIS）적상관성，총결기림상응용개치。방법：회고성분석60례경림상증실적SIS환자적림상급영상자료，대X선섭영소시적견봉형태급견봉하간극진행분형、측량，병여M RI소견진행대조，분석견봉형태급견봉하간극여SIS적상관성。결과：60례환자중，견봉평탄형（Ⅰ형）8례、호형（Ⅱ형）10례、구상（Ⅲ형）42례。강상기출구위X선섭영소시견봉하간극위（1.21±0.36）cm ，M RI소시견봉하간극치위（1.10±0.18）cm ，량자차이무통계학의의（ P＞0.05）。견수손상 M RI분급Ⅰ급27례，Ⅱ급20례，Ⅲ급13례。견봉하간극치여견수손상M RI분급정정상관（ P＜0.05）。결론：견관절강상기출구위X선섭영소시견봉형태、견봉하간극여SIS발생밀절상관；당견봉형태위구상급견봉하간극치＜1 cm ，강렬제시 SIS가능，대우무M RI적기층의원진단SIS림상의의명현，치득림상응용。
Objective:To investigate the correlation among subacromial space ,acromion shape and shoulder impingement syn-drome ,and to summarize clinical application value .Methods :The clinical and imaging data of 60 patients with SIS were collected and retrospectively reviewed .The shape of acromion and tears of rotator cuff of all patients were classified .A cromion-Humerus (A-H) distance was measured .The correlation among subacromial space ,acromion shape and shoulder impingement syndrome were presented thereafter .Results:Among 60 patients ,there were 8 of type I ,10 of typeⅡ ,42 of type Ⅲ .The cromion-Humerus (A-H) distance were (1 .21 ± 0 .36)cm in DR imaging ,compared to (1 .10 ± 0 .18)cm in MR imaging ;There was no significant difference was found in A-H distance measured with X-ray and MRI (P>0 .05) .There were 20 of type I ,25 of typeⅡ ,15 of type Ⅲ of tears of rotator cuff .There was positive correlation between the A-H distance and class of rotator cuff (P<0 .05) . Conclusion:There are closely relationship among subacromial space ,acromion shape and shoulder impingement syndrome;typeⅢ acromion shape and too narrow cromion-Humerus distance (<1 cm) strongly suggests SIS .
