肩关节MRI在肩袖损伤诊断中的应用分析

The Preliminary Comparative Study between MRI and Arthroscopy Manifestation for Rotator Cuff Injury

目的探索MRI在肩袖损伤诊断中的应用价值,并与关节镜下诊断进行比较,了解MRI诊断肩袖损伤的准确率。方法回顾性分析我院收治的肩关节损伤并接受肩关节镜治疗的42例患者的临床资料,将MRI的诊断率与肩关节镜进行对比,分析MRI诊断肩袖损伤的诊断敏感度、特异度、阳性预测值及阴性预测值。结果 42例患者中,MRI诊断为肩袖损伤的患者29例,肩关节镜下诊断为肩袖损伤的患者27例。术前MRI未见肩袖损伤,而关节镜下见肩袖撕裂5例,MRI及关节镜下均未见肩袖损伤8例。结论 MRI在诊断肩袖损伤方面具有诊断准确率高、特异度高等优点,可通过MRI对可能的肩袖损伤患者进行初步诊断。

Objective To evaluate the value of MRI in the diagnosis of rotator cuff tear.Methods 42 cases with a history of shoulder trauma underwent MR imaging. The results of MRI were studied retrospectively and compared with the findings of surgery and arthroscopy. Results Based on the results of arthroscopy and surgery, 32 of 42 cases had been confirmed by arthroscopy, incIuding 29 cases confirmed by MRI, 8 cases were not found have rotator cuff tear. Conclusion MRI was a good modality in the diagnosis of rotator cuff tears and glenoid labrum ruptures of shoulder trauma.