肩峰下撞击综合征与MSCT下肩峰分型的关系研究

The Relationship of between Subacromial Impingement Syndrome and Shoulder Typing under MSCT

目的:研究肩峰下撞击综合征与MSCT下肩峰分型的关系。方法:对2013年1月至2015年1月在我院确诊为肩峰下撞击综合征的110例患者行MSCT扫描,将所有患者按照不同年龄阶段、性别、肩峰的不同位置进行分组,比较不同肩峰形态在不同年龄组、不同性别组以及不同位置组的分布情况。结果:Ⅰ型、Ⅱ型肩峰随年龄增长,比例逐渐降低,Ⅲ型肩峰随年龄增长,比例逐渐增大。Ⅱ型肩峰A组患者比例为51.6%,较B组和C组明显高,Ⅲ型肩峰A组患者比例为22.6%,较B组和C组明显低(P<0.05)。男性组与女性组Ⅰ型、Ⅱ、Ⅲ型肩峰形态所占比例比较,差异均不具有统计学意义(P>0.05)。Ⅲ型肩峰形态右肩较多,所占比例为52.5%,明显高于左肩组(P<0.05)。结论:MSCT可以清楚显示肩峰的形态与结构,肩峰下撞击综合征患者弯曲型肩峰随年龄增大比例逐渐减少,钩型肩峰多在右肩,且随年龄增大比例逐渐增大。

Objective： To study the relationship between subacromial impingement syndrome and shoulder typing under MSCT. Methods： 1 10 patients diagnosed with shoulder impingement syndrome in our hospital from January 2013 to January 2015 were undergone with MSCT scanning, all the patients were grouped according to different ages, gender, location shoulder to compare different shoulder peak shape in different age groups. Results： I and II shoulder gradually decreased in proportion with age, III type shoulder gradually increased in proportion with age. Type II shoulder proportion of A group group was 51.6%, which was significantly higher compared with group B and group C, type III shoulder proportion of A group group was 22.6%, which was significantly lower compared with group B and group C. I, II, III type acromion morphology of male group and female group didn＇t have the significant difference in proportion （P 〉 0.05）. III type shoulder had the right shoulder more, the proportion was 52.5 percent, which was significantly higher than the left shoulder group （P 〈 0.05）. Conclusion： MSCT can clearly show the shape and structure of the shoulder, curved shoulder of subacromial impingement syndrome patiens gradually reduce the proportion with age increasing, hook shoulder is in the right shoulder more, and the proportion increases with age gradually increasing.