CAJ | 학술논문

目的：探讨肩胛下隐窝滑囊积液的MRI征象对肩关节粘连性关节囊炎的诊断价值。方法回顾性分析我院2012年9月至2014年3月157例肩关节的MRI图像,将临床确诊的粘连性关节囊炎冻结期62例作为粘连性关节囊炎组,肩袖部分撕裂31例作为肩袖撕裂组,64例肩关节疼痛未确诊者作为对照组,全部患者在冠状位、矢状位T2WI抑脂像上观察肩胛下隐窝滑囊有无积液征象。结果肩胛下隐窝滑囊积液征象见于粘连性关节囊炎55例(55/62),冈上肌腱部分撕裂4例(4/31),对照组5例(5/64),诊断的准确性、敏感性、特异性、阳性预测值和阴性预测值分别为：0.90、0.89、0.91、0.86、0.92,肩胛下隐窝滑囊积液的MRI征象在诊断粘连性关节囊炎方面与关节镜或手术病理证实的结果一致性好(P<0.001)。结论肩胛下隐窝滑囊积液的MRI征象在确定诊断肩关节粘连性关节囊炎中具有重要价值。
목적：탐토견갑하은와활낭적액적MRI정상대견관절점련성관절낭염적진단개치。방법회고성분석아원2012년9월지2014년3월157례견관절적MRI도상,장림상학진적점련성관절낭염동결기62례작위점련성관절낭염조,견수부분시렬31례작위견수시렬조,64례견관절동통미학진자작위대조조,전부환자재관상위、시상위T2WI억지상상관찰견갑하은와활낭유무적액정상。결과견갑하은와활낭적액정상견우점련성관절낭염55례(55/62),강상기건부분시렬4례(4/31),대조조5례(5/64),진단적준학성、민감성、특이성、양성예측치화음성예측치분별위：0.90、0.89、0.91、0.86、0.92,견갑하은와활낭적액적MRI정상재진단점련성관절낭염방면여관절경혹수술병리증실적결과일치성호(P<0.001)。결론견갑하은와활낭적액적MRI정상재학정진단견관절점련성관절낭염중구유중요개치。
Objective To evaluate the diagnostic values of MRI symptoms of bursa hydrops in the subscapularis recess in patients with shoulder adhesive capsulitis. Methods The MRI image of 157 cases recieved from September 2012 to March 2014 were retrospectively ana-lyzed. The 62 cases who were diagnosed as adhesive capsulitis in the freezing phase were regarded as the adhesive capsulitis group; the 31 cases of partial tear of rotator cuff were regarded as the rotator cuff tear group;and the other 64 cases who were undiagnosed were regareded as the control group. The presence of fluid distension of the bursa in the subscapularis recess were evaluated on the T2-weightedfat-saturated images. Results Symptoms of bursa hydrops in the subscapularis recess were found in 55 patients (55/62) with shoulder adhesive capsuli-tis, 4 patients (4/31) with superior cuff tear, and 5 patients (5/64) in the control group. The mean diagnostic values were:veracity 0. 90;sensibility 0. 89;specificity 0. 91;positive predictive value 0. 86; negative predictive value 0. 92. Symptoms of bursa hydrops in the sub-scapularis recess have a good consistency with arthroscopic or pathological results (P<0. 001). Conclusion The MRI symptoms of bursa hydrops in the subscapularis recess has an important diagnostic value for the confirmation of shoulder adhesive capsulitis.