中华关节外科杂志（电子版）
中華關節外科雜誌（電子版）
중화관절외과잡지（전자판）
CHINESE JOURNAL OF JOINT SURGERY(ELECTRONIC VERSION)
2015年
3期
305-309
,共5页
超声检查%回旋套%创伤和损伤%磁共振成像
超聲檢查%迴鏇套%創傷和損傷%磁共振成像
초성검사%회선투%창상화손상%자공진성상
Ultrasonography%Rotator cuff%Wounds and injuries%Magnetic resonance imaging
目的：比较超声（US）和MRI成像（MRI）诊断肩袖撕裂的准确性，评估US与MRI检查在肩袖撕裂中的临床应用价值。方法收集以肩袖撕裂为诊断入院，并行肩关节镜检的患者210例，男84例，女126例，年龄22～78岁。210例患者中202例行MRI检查，130例接受US检查，以关节镜检结果为评价标准，分别计算US和MRI诊断肩袖撕裂的准确性、敏感性、特异性以及两种检查测量撕裂尺寸的准确性，比较两种检查方法的有效性。并对25例患者进行了术后1个月、3个月的US随访观察，对术前术后肩袖脂肪浸润的变化进行评估分析。结果与手术结果比较， US与MRI诊断肩袖撕裂的敏感性、特异性及准确性分别为91％、86％、91％和88％、85％、88％。 US与MRI判断肌腱断端回缩度和撕裂宽度的准确性分别为73％、67.6％和74％、66％。 US和MRI诊断肩袖撕裂和测量肩袖撕裂尺寸的准确性没有显著的统计学差异。 US和MRI能准确有效地评估肩袖撕裂后脂肪浸润分级情况并进行随访观察，有利于预测患者的预后。结论 US与MRI均在诊断肩袖撕裂和测量肩袖撕裂尺寸上具有较高的准确性。对于有经验的骨科或影像科医生而言， US检查是一种省时、廉价、简单可靠并可重复的诊断方法，可作为肩袖撕裂诊断及随访的常规检查方法。
目的：比較超聲（US）和MRI成像（MRI）診斷肩袖撕裂的準確性，評估US與MRI檢查在肩袖撕裂中的臨床應用價值。方法收集以肩袖撕裂為診斷入院，併行肩關節鏡檢的患者210例，男84例，女126例，年齡22～78歲。210例患者中202例行MRI檢查，130例接受US檢查，以關節鏡檢結果為評價標準，分彆計算US和MRI診斷肩袖撕裂的準確性、敏感性、特異性以及兩種檢查測量撕裂呎吋的準確性，比較兩種檢查方法的有效性。併對25例患者進行瞭術後1箇月、3箇月的US隨訪觀察，對術前術後肩袖脂肪浸潤的變化進行評估分析。結果與手術結果比較， US與MRI診斷肩袖撕裂的敏感性、特異性及準確性分彆為91％、86％、91％和88％、85％、88％。 US與MRI判斷肌腱斷耑迴縮度和撕裂寬度的準確性分彆為73％、67.6％和74％、66％。 US和MRI診斷肩袖撕裂和測量肩袖撕裂呎吋的準確性沒有顯著的統計學差異。 US和MRI能準確有效地評估肩袖撕裂後脂肪浸潤分級情況併進行隨訪觀察，有利于預測患者的預後。結論 US與MRI均在診斷肩袖撕裂和測量肩袖撕裂呎吋上具有較高的準確性。對于有經驗的骨科或影像科醫生而言， US檢查是一種省時、廉價、簡單可靠併可重複的診斷方法，可作為肩袖撕裂診斷及隨訪的常規檢查方法。
목적：비교초성（US）화MRI성상（MRI）진단견수시렬적준학성，평고US여MRI검사재견수시렬중적림상응용개치。방법수집이견수시렬위진단입원，병행견관절경검적환자210례，남84례，녀126례，년령22～78세。210례환자중202례행MRI검사，130례접수US검사，이관절경검결과위평개표준，분별계산US화MRI진단견수시렬적준학성、민감성、특이성이급량충검사측량시렬척촌적준학성，비교량충검사방법적유효성。병대25례환자진행료술후1개월、3개월적US수방관찰，대술전술후견수지방침윤적변화진행평고분석。결과여수술결과비교， US여MRI진단견수시렬적민감성、특이성급준학성분별위91％、86％、91％화88％、85％、88％。 US여MRI판단기건단단회축도화시렬관도적준학성분별위73％、67.6％화74％、66％。 US화MRI진단견수시렬화측량견수시렬척촌적준학성몰유현저적통계학차이。 US화MRI능준학유효지평고견수시렬후지방침윤분급정황병진행수방관찰，유리우예측환자적예후。결론 US여MRI균재진단견수시렬화측량견수시렬척촌상구유교고적준학성。대우유경험적골과혹영상과의생이언， US검사시일충성시、렴개、간단가고병가중복적진단방법，가작위견수시렬진단급수방적상규검사방법。
Objective To compare the accuracy of ultrasound ( US ) and magnetic resonance imaging (MRI) for the detection and measurement of the size of rotator cuff tears(RCT)and to evaluate the clinical values of US and MRI.Methods A total of 210 patients (84 males and 126 females; age range, 22 to 78 years) with suspected RCT underwent arthroscopy surgery.Among the patients, 202 of them had MRI examination, and 130 of them had US examination preoperatively.The RCT existence status, RCT pattern, and sizes of RCT, were recorded.The preoperative results were compared with the findings during the arthroscopy to assess the effectiveness of the two methods.Twenty-five patients took US examination before the surgery, one month and three months after the surgery.The preoperative and postoperative assessments of fatty infiltration were performed.Results Compared with the arthroscopic results, the sensitivity, specificity, and accuracy of the diagnosis of RCT were 91%, 86%, and 91% respectively in US, while 88%, 85%, and 88%respectively in MRI.As for the assessment of the tendon retraction and the size of RCT, the accuracy was 73%and 67.6%respectively in US, while 74%and 66%respectively in MRI.There was no statistic difference between the performance of US and MRI.US and MRI both could accurately and effectively evaluate the fatty infiltration after rotator cuff tears.Conclusions US and MRI both have comparably high accuracy for detecting and measuring the sizes of partial-thickness and full-thickness tears.The US examination of the shoulder performed by a sufficiently-trained orthopaedic surgeon or a radiologist is a reliable, time-saving, and cost-effective practice to identify rotator-cuff tears.US can be used as a routine method for the diagnosis and follow-up of RCT.
