肩袖全层撕裂不同亚型术前超声诊断价值

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摘要目的：探讨高频超声对肩袖全层撕裂亚型诊断的术前应用价值。方法：用过高频超声将冈上肌腱全层撕裂分为4型，并与肩关节镜进行对比观察，评价超声诊断冈上肌腱撕裂分型的符合率，并探讨其在临床中的应用价值。结果：本次研究中65例患者的71个肩关节中，超声发现冈上肌腱全层撕裂65个，经手术证实冈上肌腱全层撕裂67个，超声低估撕裂程度3个，高估1个。在67个全层型撕裂中L型27个，全层U型17个（其中双U+L型1个），巨大撕裂15个，新月型8个。超声诊断冈上肌腱全层撕裂的敏感性为95.5%，特异性为75%，总符合率为94.4%。结论：高频超声可以很好的对肩袖全层撕裂进行术前分型，对手术方式的选择具有很高的指导价值。

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	韩洋
	刘亮
	赵峰
	陈洁

关键词 ：肩, 撕裂伤, 超声检查, 多普勒, 彩色

Abstract： Objective: To explore the diagnostic value of high frequency ultrasound in the different subtypes classification of the rotator cuff tear. Methods: The full-thickness tear of supraspinatus tendon is divided into 4 types by using high frequency ultrasound. By comparing with the shoulder arthroscopy, we explore its application value in clinical practice. Results: Of 71 shoulder cases in 65 patients, 67 full-thickness tear of the supraspinatus tendon were confirmed by operation, and three were underestimated and one was overestimated by ultrasound. Of 67 full-thickness, 27 L-type, 17 U type(double U+L type 1), 15 giant tear and 8 crescent shaped types were comfired. The sensitivity and specificity of ultrasonography in the diagnosis of the whole layer tear of the tendon were 95.5% and 75%, and the total coincidence rate was 94.4%. Conclusion: High frequency ultrasound can be very good for classification of the rotator cuff tear. It is highly valuable for clinical treatment and surgical options.

Key words： Shoulder Lacerations Ultrasonography, Doppler, color

收稿日期: 2016-05-09

PACS:	Ｒ686.1
	Ｒ445.1

通讯作者: 陈洁，首都医科大学附属北京潞河医院超声科，101149。E-mail：23778505@qq.com

作者简介: 韩洋（1978-），男，吉林长春人，主治医师。E-mail：384104518@qq.com

引用本文:

韩洋，刘亮，赵峰，陈洁. 肩袖全层撕裂不同亚型术前超声诊断价值[J]. 中国临床医学影像杂志, 2017, 28(2): 130-132.
HAN Yang, LIU Liang, ZHAO Feng, CHEN Jie. Diagnostic value of ultrasonography in different subtypes of rotator cuff tear. JOURNAL OF CHINA MEDICAL IMAGING, 2017, 28(2): 130-132.

链接本文:

http://www.jccmi.com.cn/CN/ 或 http://www.jccmi.com.cn/CN/Y2017/V28/I2/130

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