影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (3): 680-684.DOI: 10.7517/issn.1674-0475.211131

• 综述与论文 • 上一篇    下一篇

磁共振PDW-SPAIR序列对女性羽毛球运动员肩袖损伤的诊断分析

张玲1, 安伊凡1, 樊勇1, 邱明强2   

  1. 1. 内蒙古农业大学职业技术学院, 内蒙古 呼和浩特 014109;
    2. 平邑县中医医院, 山东 临沂 273399
  • 收稿日期:2021-11-15 出版日期:2022-05-15 发布日期:2022-05-27
  • 通讯作者: 内蒙古自治区教育科学"十三五"规划2020年度课题(NGJGH2020090)

Diagnosis and Analysis of Rotator Cuff Injury in Female Badminton Athletes with MRI PDW-SPAIR Sequence

ZHANG Ling1, AN Yifan1, FAN Yong1, QIU Mingqiang2   

  1. 1. Vocational and Technical College of Inner Mongolia Agricultural University, Hohhot 014109, Inner Mongolia, P. R. China;
    2. Pingyi County Traditional Chinese Medicine, Linyi 273399, Shandong, P. R. China
  • Received:2021-11-15 Online:2022-05-15 Published:2022-05-27

摘要: 探讨磁共振质子密度加权频率衰减翻转恢复(PDW-SPAIR)序列诊断女性羽毛球运动员肩袖损伤的价值及与关节镜下表现的对比。选取因肩部疾病就诊的女性羽毛球运动员76例,均行磁共振PDW-SPAIR序列及关节镜检查。通过检查分析发现,其中,68.42%为肩袖损伤;磁共振PDW-SPAIR序列诊断肩袖损伤患者的敏感度、特异度及准确度分别为96.15%、91.67%、94.74%,与关节镜诊断比较,差异无统计学意义(P>0.05);磁共振PDW-SPAIR序列诊断肩袖损伤患者损伤分级与关节镜诊断的一致性较高,Kappa值为0.981;经磁共振PDW-SPAIR序列检查确诊肩袖损伤患者的术前磁共振PDW-SPAIR序列肩袖脂肪浸润评分高于术中(P<0.05)。可见磁共振PDW-SPAIR序列在女性羽毛球运动员肩袖损伤的诊断方面具有较高诊断效能,其诊断肩袖损伤患者损伤分级与关节镜诊断的一致性较高。

关键词: 女性羽毛球运动员, 肩袖损伤, 磁共振, 质子密度加权频率衰减翻转恢复序列, 关节镜

Abstract: This research explored the value of magnetic resonance proton density-weighted spectral attenuated inversion recovery (PDW-SPAIR) sequence in the diagnosis of rotator cuff injury in female badminton players and its comparison with arthroscopic findings. 76 female badminton players treated for shoulder disease were selected and underwent magnetic resonance PDW-SPAIR sequence and arthroscopy. Through inspection and analysis, 68.42% of them were rotator cuff injuries; the sensitivity, specificity and accuracy of magnetic resonance PDW-SPAIR sequence in diagnosing patients with rotator cuff injury were 96.15%, 91.67%, and 94.74%, respectively, and compared with arthroscopic diagnosis, there was no significant difference (P>0.05). It was high consistency between magnetic resonance PDW-SPAIR sequence diagnosis of rotator cuff injury in patients with injury grading and arthroscopic diagnosis (Kappa value 0.981). The preoperative magnetic resonance PDW-SPAIR sequence rotator cuff fatty infiltration score of patients with rotator cuff injury confirmed by magnetic resonance PDW-SPAIR sequence examination was higher than that during surgery (P<0.05). This shows the magnetic resonance PDW-SPAIR sequence has high diagnostic performance in the diagnosis of rotator cuff injury in female badminton players, and its diagnosis of rotator cuff injury patients has a high consistency with arthroscopic diagnosis.

Key words: female badminton player, rotator cuff injury, magnetic resonance, proton density-weighted spectral attenuated inversion recovery sequence, arthroscopy