中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2013年
4期
517-519
,共3页
肩撞击综合征%诊断%肩凝症%肩关节
肩撞擊綜閤徵%診斷%肩凝癥%肩關節
견당격종합정%진단%견응증%견관절
Should impingement syndrome%Diagnosis%Frozen shoulder%Shoulder jiont
目的 探讨改良Neer撞击征对肩峰下撞击症与冻结肩的鉴别诊断价值.方法 对肩关节疾病患者115例(123肩)进行Neer撞击征和改良Neer撞击征检查,观察肩峰下撞击症的敏感性、特异性、阳性预测值、阴性预测值和准确度.结果 改良Neer撞击征对肩峰撞击症诊断准确度为91.06％,特异性为95.51％；对冻结肩诊断准确度为95.93％,特异性为91.09％.结论 改良Neer撞击征对肩峰撞击症及冻结肩诊断准确度高,可靠性好,是诊断肩峰下撞击症及冻结肩的可靠方法,且对二者有良好的鉴别诊断价值.
目的 探討改良Neer撞擊徵對肩峰下撞擊癥與凍結肩的鑒彆診斷價值.方法 對肩關節疾病患者115例(123肩)進行Neer撞擊徵和改良Neer撞擊徵檢查,觀察肩峰下撞擊癥的敏感性、特異性、暘性預測值、陰性預測值和準確度.結果 改良Neer撞擊徵對肩峰撞擊癥診斷準確度為91.06％,特異性為95.51％；對凍結肩診斷準確度為95.93％,特異性為91.09％.結論 改良Neer撞擊徵對肩峰撞擊癥及凍結肩診斷準確度高,可靠性好,是診斷肩峰下撞擊癥及凍結肩的可靠方法,且對二者有良好的鑒彆診斷價值.
목적 탐토개량Neer당격정대견봉하당격증여동결견적감별진단개치.방법 대견관절질병환자115례(123견)진행Neer당격정화개량Neer당격정검사,관찰견봉하당격증적민감성、특이성、양성예측치、음성예측치화준학도.결과 개량Neer당격정대견봉당격증진단준학도위91.06％,특이성위95.51％；대동결견진단준학도위95.93％,특이성위91.09％.결론 개량Neer당격정대견봉당격증급동결견진단준학도고,가고성호,시진단견봉하당격증급동결견적가고방법,차대이자유량호적감별진단개치.
Objective To explore the value of differential diagnosis of modified Neer impingement sign for subacromial impingement syndrome and frozen shoulder.Methods 115 patients(123 shoulders) with shoulder joint disease were checked by the Neer impingement sign and modified Neer impingement sign,and the sensitivity,specificity,positive predictive value,negative predictive value,and accuracy of the test for subacromial impingement syndrome was observed.Results The diagnostic rate of accuracy of modified Neer impingement sign for subacromial impingement syndrome was 91.06％,and the specificity was 95.51％,while for frozen shoulder the accuracy was 95.93％,and the specificity was 90.09％.Conclusion Modified Neer impingement sign for subacromial impingement syndrome and frozen shoulder has diagnosis accuracy,good reliability,and it is a reliable method for diagnosis of subacromial impingement syndrome and frozen shoulder,and has a good differential diagnostic value for the two diseases.
