广州体育学院学报
廣州體育學院學報
엄주체육학원학보
Journal of Guangzhou Physical Education Institute
2014年
2期
89~91
,共null页
肩袖 临床诊断 磁共振成像
肩袖 臨床診斷 磁共振成像
견수 림상진단 자공진성상
rotator cuff, clinical diagnosis , MRI
目的：探讨临床检查和磁共振成像（M RI）对肩袖撕裂的诊断价值.方法：对32例疑似肩袖撕裂患者进行临床检查和MRI检查,后进行关节镜手术检查.以关节镜检查结果为标准,对临床检查和MRI检查诊断肩袖撕裂的结果进行比较分析.结果：关节镜检查发现肩袖撕裂22例,正常10例.以肩关节镜下所见为标准,临床检查诊断肩袖撕裂的敏感性、特异性、准确性分别为86.4％、50％、75％.MRI检查诊断肩袖撕裂的敏感性、特异性、准确性分别为86.4％、70％、81.2％.在关节镜证实肩袖撕裂22例患者中,临床检查阳性率较高的有大结节压痛20例（90.9％）,疼痛弧征19例（86.4％）,撞击试验17例（77.3％）,肩坠落试验14例（63.6％）.结论：MRI诊断对肩袖撕裂的诊断和分级的准确性较高,是诊断肩袖撕裂的有效方法.临床诊断对肩部疼痛的患者及时进行临床检查有重要意义,是诊断肩袖撕裂的基本方法;两种诊断方法的敏感性一致,MRI对肩袖撕裂诊断的特异性和准确性均优于临床诊断.
目的：探討臨床檢查和磁共振成像（M RI）對肩袖撕裂的診斷價值.方法：對32例疑似肩袖撕裂患者進行臨床檢查和MRI檢查,後進行關節鏡手術檢查.以關節鏡檢查結果為標準,對臨床檢查和MRI檢查診斷肩袖撕裂的結果進行比較分析.結果：關節鏡檢查髮現肩袖撕裂22例,正常10例.以肩關節鏡下所見為標準,臨床檢查診斷肩袖撕裂的敏感性、特異性、準確性分彆為86.4％、50％、75％.MRI檢查診斷肩袖撕裂的敏感性、特異性、準確性分彆為86.4％、70％、81.2％.在關節鏡證實肩袖撕裂22例患者中,臨床檢查暘性率較高的有大結節壓痛20例（90.9％）,疼痛弧徵19例（86.4％）,撞擊試驗17例（77.3％）,肩墜落試驗14例（63.6％）.結論：MRI診斷對肩袖撕裂的診斷和分級的準確性較高,是診斷肩袖撕裂的有效方法.臨床診斷對肩部疼痛的患者及時進行臨床檢查有重要意義,是診斷肩袖撕裂的基本方法;兩種診斷方法的敏感性一緻,MRI對肩袖撕裂診斷的特異性和準確性均優于臨床診斷.
목적：탐토림상검사화자공진성상（M RI）대견수시렬적진단개치.방법：대32례의사견수시렬환자진행림상검사화MRI검사,후진행관절경수술검사.이관절경검사결과위표준,대림상검사화MRI검사진단견수시렬적결과진행비교분석.결과：관절경검사발현견수시렬22례,정상10례.이견관절경하소견위표준,림상검사진단견수시렬적민감성、특이성、준학성분별위86.4％、50％、75％.MRI검사진단견수시렬적민감성、특이성、준학성분별위86.4％、70％、81.2％.재관절경증실견수시렬22례환자중,림상검사양성솔교고적유대결절압통20례（90.9％）,동통호정19례（86.4％）,당격시험17례（77.3％）,견추락시험14례（63.6％）.결론：MRI진단대견수시렬적진단화분급적준학성교고,시진단견수시렬적유효방법.림상진단대견부동통적환자급시진행림상검사유중요의의,시진단견수시렬적기본방법;량충진단방법적민감성일치,MRI대견수시렬진단적특이성화준학성균우우림상진단.
Objective To evaluate the role of MRI and the clinical examination in diagnosing rotator cuff tear. Methods Clinical diagnoses of 32 cases who suspected suffered from rotator cuff tear were compared with that of subsequent MRI. The results of clinical diagnosis and that of MRI diagnosis were analysed according to the arthroscopic finding. Results 22 cases of rotator cuff tear and 10cases of normal rotator cuff were diagnosed through arthroscopy. Arthroscopic examination was used as evaluating standard, the sensitivity, specificity and accuracy for clinical diagnosis were 86.4% ,50% ,75% respectively, and for MRI were 86.4% ,70% ,81.2% respectively. Arthroscopy diagnoses of 22 cases who suffered from rotator cuff tear, signs higher positive rate consisted of painful were in 20（90.9% ）, painful arc were in 19 （86.4%）, impingement sign were in 17 （77. 3% ） , arm drop sign were in 14（63.6% ）. Conclusion In rotator cuff tear, clinical diagnosis showed a lower specificity, while MRI showed a higher sensitivity, specificity and accuracy .
