肩峰下撞击综合征的影像表现与临床应用

Imaging manifestations and clinical application of subacromial impingement syndrome

目的明确肩峰下撞击综合征的诊治方法及影像学检查的实际临床应用。方法对27例肩峰下撞击综合征患者的临床和影像学资料进行回顾性分析。结果肩峰下撞击邻近骨质增生硬化明显，钩型肩峰8例，冈上肌腱撕裂10例；保守治疗18例，手术9例；Neer评分优5例，满意17例。结论肩峰下撞击综合征在临床诊断的基础上结合实际有效的影像学检查能够进行有效的针对性治疗。

Objective To clear the diagnose and treatment of subacromial impingement syndrome and the actual clinical application of imaging examination. Methods Retrospectivly analyzed the clinical manifestation and imaging data of 27 patients with subacromial impingement syndrome. Results Near the site subacromial impingement bone sclerosis obvious, hook acromion in 8 cases, supraspinatus tendon rupture in 10 cases. Eighteen cases with conservative treatment, 9 cases with operation. Neer score, 5 cases were excellent, 17 cases were satisfactory. Conclusions The subacromial impingement syndrome based on clinical diagnosis, the actual effective imaging examination, we can carry on the elfective targeted therapy.