MRI相关定量参数在肩峰下撞击综合征诊断中的价值及与肩关节功能、治疗效果的关系

doi:10.7517/issn.1674-0475.200809

影像科学与光化学 ›› 2021, Vol. 39 ›› Issue (2): 213-218.DOI: 10.7517/issn.1674-0475.200809

MRI相关定量参数在肩峰下撞击综合征诊断中的价值及与肩关节功能、治疗效果的关系

胡晓明¹, 姚军¹, 窦帮²

1. 松江区中心医院放射科, 上海松江 201600;
2. 松江区中心医院骨科, 上海松江 201600

收稿日期:2020-08-19 出版日期:2021-03-15 发布日期:2021-03-12
通讯作者: 姚军

The Value of MRI Quantitative Parameters in the Diagnosis of Subacromial Impingement Syndrome and the Relationship with Shoulder Joint Function and Treatment Effect

HU Xiaoming¹, YAO Jun¹, DOU Bang²

1. Department of Radiology, Songjiang District Central Hospital, Songjiang 201600, Shanghai, P. R. China;
2. Department of Orthopedics, Songjiang District Central Hospital, Songjiang 201600, Shanghai, P. R. China

Received:2020-08-19 Online:2021-03-15 Published:2021-03-12

摘要/Abstract

摘要： 为分析MRI相关定量参数对肩峰下撞击综合征（SIS）的诊断价值，本研究将56例SIS患者设为SIS组，同期56例健康体检者设为对照组，对比了两组对象的一般资料、肩关节功能评分（Constant评分）及MRI相关定量参数水平，探讨了MRI定量参数与Constant评分、SIS发病相关影响因素、治疗效果的关系及对SIS的诊断价值。结果显示SIS组Constant评分、最短肩肱间距低于对照组，肩峰指数、肩锁关节骨赘高度高于对照组，且SIS组治疗有效患者肩峰指数、肩锁关节骨赘高度低于无效患者，最短肩肱间距高于无效患者（P<0.05）；SIS患者肩峰指数、肩锁关节骨赘高度与Constant评分呈负相关，而最短肩肱间距与其呈正相关（P<0.05）；各MRI相关定量参数均为SIS发病的重要影响因素（P<0.05）。应用各MRI相关定量参数联合诊断SIS特异度为87.50%，敏感度为80.36%。由此可知MRI相关定量参数对SIS诊断价值较高，且与肩关节功能和治疗效果有关。

关键词: MRI相关定量参数, 肩峰下撞击综合征, 肩关节功能

Abstract: In order to analyze the diagnostic value of MRI-related quantitative parameters for SIS and the relationship with shoulder joint function and treatment effect, 56 SIS patients in our hospital were set as the SIS group, and 56 healthy subjects in the same period were set as the control group. The general data and the shoulder joint function score (Constant) were compared between the two groups, as well as the level of MRI quantitative parameters. And the relationship between the MRI quantitative parameters and the Constant score, the incidence of SIS, the treatment effect and the diagnostic value of SIS in patients of SIS were discussed. The results showed that the Constant score and the shortest shoulder-brachial distance of the SIS group were lower than those of the control group. And the acromion index and the height of acromioclavicular joint osteophytes were higher than those of the control group. Moreover, the acromion index and the height of acromioclavicular joint osteophytes of the effective patients in the SIS group were lower than those in the ineffective patients. And the shortest shoulder-brachial distance was higher than that in the ineffective patients (P<0.05). All MRI quantitative parameters were important factors influencing the onset of SIS (P<0.05). The specificity of the combined diagnosis of SIS by the MRI quantitative parameters was 87.50%, and the sensitivity was 80.36%. The results show that MRI quantitative parameters are of high value in the diagnosis of SIS, and are related to shoulder joint function and treatment effects.

Key words: MRI quantitative parameters, subacromial impingement syndrome, shoulder joint function

胡晓明, 姚军, 窦帮. MRI相关定量参数在肩峰下撞击综合征诊断中的价值及与肩关节功能、治疗效果的关系[J]. 影像科学与光化学, 2021, 39(2): 213-218.

HU Xiaoming, YAO Jun, DOU Bang. The Value of MRI Quantitative Parameters in the Diagnosis of Subacromial Impingement Syndrome and the Relationship with Shoulder Joint Function and Treatment Effect[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(2): 213-218.

参考文献

[1] 陶晓冰, 郜顺兴, 刘红正, 等. 葛根汤加味熏洗配合理筋手法治疗早中期肩峰下撞击综合征120例临床观察[J]. 中医药导报, 2017, 23(20):100-102.
[2] Turgut E, Duzgun I, Baltaci G. Stretching exercises for shoulder impingement syndrome:effects of 6-week program on shoulder tightness, pain and disability status[J]. Journal of Sport Rehabilitation, 2018, 27(2):132-137.
[3] Dhillon K S. Subacromial impingement syndrome of the shoulder:a musculoskeletal disorder or a medical myth[J]. Malaysian Orthopaedic Journal, 2019, 13(3):1-7.
[4] 李新波, 刘海燕, 刘国红, 等. 1. 5T MRI对肩峰下撞击综合征病理变化的诊断价值[J]. 海南医学, 2017, 28(13):2140-2142.
[5] 祁生平, 马刚. 1. 5T核磁共振成像与多层螺旋CT对肩峰下撞击综合征的诊断价值比较[J]. 中国医学装备, 2018, 15(1):70-74.
[6] Sasiponganan C, Dessouky R, Ashikyan O, et al. Subacro-mial impingement anatomy and its association with rotator cuff pathology in women:radiograph and MRI correlation, a retrospective evaluation[J]. Skeletal Radiology, 2018, 48(5):781-790.
[7] 孙树椿, 孙之镐. 临床骨伤科学[M].北京:人民卫生出版社,2006. 754-769.
[8] 潘峻, 蔡友治. 老年肩峰撞击症合并全层肩袖损伤的关节镜下治疗分析[J]. 中华老年医学杂志, 2020, 39(1):62-66.
[9] Pesquer L, Borghol S, Meyer P, et al. Multimodality imaging of subacromial impingement syndrome[J]. Skeletal Radiology, 2018, 47(7):923-937.
[10] 牛镇远, 王琳, 李铁山, 等. 肩峰下撞击综合征患者肩峰下空间的超声和姿势分析初步研究[J]. 中国康复医学杂志, 2019, 34(6):667-672.
[11] Garving C, Jakob S, Bauer I, et al. Impingement syndrome of the shoulder[J]. Deutsches Arzteblatt International, 2017, 114(45):765-776.
[12] 张进伟, 朱彪, 陈立顶. 肩峰下撞击综合征的MRI的表现及诊断[J]. 影像研究与医学应用, 2019, 3(23):15-17.
[13] 李潇, 徐繁, 曹向宇, 等. MRI对肩峰下撞击综合征合并肩袖撕裂的诊断应用[J]. 北京医学, 2019, 41(3):217-218.
[14] 袁丹军, 唐志洋, 单秀红, 等. 核磁共振相关定量参数与肩峰下撞击综合征的相关性研究[J]. 广西医科大学学报, 2019, 36(1):25-28.
[15] 冯敏, 张睿锐, 王涛, 等. 肩峰指数与退变性全层肩袖撕裂之间的相关性研究[J]. 中国骨与关节杂志, 2019, 8(3):216-219.
[16] 乔宏宇, 丁忠祥, 肖宝臣, 等. 肩峰下撞击综合征的影像学特点[J]. 浙江实用医学, 2017, 22(2):124-126.
[17] 陈菁华, 刘可夫, 冯靖, 等. 肩峰下撞击综合征的MR定量诊断指标探讨[J]. 实用放射学杂志, 2018, 34(5):744-748.
[18] 张丽华, 郭龙军, 米立新, 等. 肩峰下撞击综合征MRI评分与肩关节功能的关系[J]. 中国医学影像学杂志, 2019, 27(3):206-210.
[19] 万星华, 万隐华, 熊伟, 等. 肩峰下撞击综合征的MRI诊断分析[J]. 实用临床医学, 2016, 17(7):71-73.
[20] 闫松, 王赢, 霍莹莹. 磁共振相关定量参数与肩峰下撞击综合征(SIS)的相关性分析[J]. 生物医学工程学进展, 2020, 41(2):86-88.

MRI相关定量参数在肩峰下撞击综合征诊断中的价值及与肩关节功能、治疗效果的关系

The Value of MRI Quantitative Parameters in the Diagnosis of Subacromial Impingement Syndrome and the Relationship with Shoulder Joint Function and Treatment Effect

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