影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (5): 1247-1252.DOI: 10.7517/issn.1674-0475.220201

• 综述与论文 • 上一篇    下一篇

磁共振T2 mapping成像对关节镜下肩袖修补术后疗效的评估

裴戌锋1, 黄芳1, 陈玥2   

  1. 1. 长江大学附属荆州医院急诊科, 湖北 荆州 434020;
    2. 长江大学附属荆州医院医学影像中心, 湖北 荆州 434020
  • 收稿日期:2022-02-23 发布日期:2022-09-13
  • 通讯作者: 裴戌锋

The Efficacy Evaluation of Arthroscopic Rotator Cuff Repair by Magnetic Resonance T2 mapping Imaging

PEI Xufeng1, HUANG Fang1, CHEN Yue2   

  1. 1. Emergency Department of Jingzhou Hospital Affiliated to Changjiang University, Jingzhou 434020, Hubei, P. R. China;
    2. Medical Imaging Center of Jingzhou Hospital Affiliated to Changjiang University, Jingzhou 434020, Hubei, P. R. China
  • Received:2022-02-23 Published:2022-09-13

摘要: 本文探究磁共振T2 mapping成像对关节镜下肩袖修补术后疗效评估价值。选取行关节镜下肩袖修补术的72例肩袖损伤体操运动员,于术前、术后6个月均行肩关节常规MR序列、T2 mapping序列检查,根据术后6个月疗效分为优良组(n=52)、不良组(n=20)。结果显示,优良组MRI低分级占比高于不良组,术前、术后6个月冈上肌腱中间、内侧、外侧T2值低于不良组,肩关节评分量表(CMS)评分、美国加州大学肩关节评分(UCLA)高于不良组(P<0.05);患者术前、术后6个月冈上肌腱中间、内侧、外侧T2值与CMS、UCLA评分均呈负相关(P<0.05);冈上肌腱中间、内侧、外侧术前、术后6个月T2值与疗效显著相关(P<0.05);术后6个月冈上肌腱中间、内侧、外侧T2值联合评估患者术后疗效不良的曲线下面积(AUC)最大,为0.887。磁共振T2 mapping成像对关节镜下肩袖修补术后疗效评估价值较高。

关键词: 磁共振, T2 mapping成像, 体操运动员, 肩袖损伤, 肩袖修补, 疗效评估

Abstract: This paper explored the efficacy value of magnetic resonance T2 mapping imaging in arthroscopic rotator cuff repair. 72 gymnasts with rotator cuff injury underwent arthroscopic rotator cuff repair were selected, and underwent routine MR sequence and T2 mapping sequence examination of the shoulder joint before and 6 months after surgery. And then divided them into excellent group (n=52) and poor group (n=20) according 6 months postoperative effect. The results showed that the proportion of low-grade MRI in the excellent group was higher than in the poor group, and the T2 values of the supraspinatus tendon in the middle, medial and lateral sides of the supraspinatus tendon before and 6 months after surgery were lower than those in the poor group. The constant-murley score (CMS), university shoulder score (UCLA) was higher than that of the poor group (P<0.05). The T2 values of the middle, medial and lateral supraspinatus tendon were negatively correlated with the CMS and UCLA scores before and 6 months after surgery (P<0.05). T2 values of the supraspinatus tendon before and 6 months after surgery were significantly correlated with the curative effect (P<0.05). The middle, medial and lateral T2 values of the supraspinatus tendon at 6 months after surgery were combined to evaluate the postoperative curative effect. The poor area under the curve (AUC) was the largest at 0.887. Magnetic resonance T2 mapping imaging has a high value in evaluating the efficacy of arthroscopic rotator cuff repair.

Key words: magnetic resonance, T2 mapping imaging, gymnasts, rotator cuff injury, rotator cuff repair, evaluation of curative effect