超声在肩关节疾病诊断中的应用价值

Application of ultrasound in shoulder lesions

目的评价超声对肩关节病变的诊断价值。方法对肩袖及非肩袖病变患者111例进行超声检查，结果与关节镜手术对照。结果肩关节镜结果显示111例患者共发现病变153个，其中67个冈上肌腱撕裂（包括全层撕裂和部分撕裂），5个冈下肌、肩胛下肌腱损伤，10个钙化性肌腱炎，2个肩胛切迹周围囊肿，34个肩峰下滑囊炎，1个滑囊内游离体，13个肱二头肌长头腱断裂或脱位（不包括上盂唇起点处撕脱），21个盂唇撕脱损伤。超声评价各种肩关节软组织病变准确性分别为：冈上肌撕裂92％，冈下肌、肩胛下肌腱损伤97％，钙化性肌腱炎96％，肩胛切迹附近囊肿100％，肩峰下滑囊炎88％，肱二头肌长头腱脱位100％，盂唇损伤81％。结论超声能够有效地评价肩关节病变，是一种可靠的无创性影像学诊断手段。

Objective To evaluate the value of ultrasound in diagnosing shoulder lesions. Methods Ultrasound images were obtained by two musculoskeletal sonologists in 111 patients suspected of having rotator cuff and non-rotator cuff lesions which were confirmed by following arthroscopic surgery. Results The arthroscopic findings demonstrated that there were two or more lesions in one patient in majority of patients, included 67 supraspinous tendon tears, 5 infraspinous or subscapular tendon injuries, 10 calcific tendonosis, 2 suprascapular notch cysts, 34 subacromial bursitis, 1 intrabursa loose body, 13 biceps longus tendon dislocation or disruption,and 21 labrum injury. The accuracy of ultrasonogrpahy was 92% in diagnosis of supraspinous tendons Lear,97 % in subscapular tendon injuries, 96% in calcific tendonitis, 100 % in suprascapular notch cysts, 88% in subacromial bursitis, 100% in biceps longus tendon dislocation or disruption, and 81% in labrum injury. Conclusions Ultrasound can evaluate shoulder lesions effectively.