MSCT和MRI在排球运动员肩关节损伤诊断中的应用

Application of MSCT and MRI in the Diagnosis of Volleyball Players’Shoulder Joint Injury

本文探究多层螺旋CT(MSCT)、磁共振成像(MRI)诊断排球运动员肩关节损伤的价值及与骨性结构的相关性。选取72例排球运动员肩关节损伤患者,均行MSCT、MRI检查,以关节镜检查结果作为“金标准”,比较MSCT、MRI诊断排球运动员肩关节损伤的价值及与骨性结构相关性研究。结果显示,MSCT联合MRI诊断排球运动员肩关节损伤类型的准确度高于MSCT、MRI单独诊断(P<0.05);MSCT联合MRI诊断排球运动员肩关节损伤程度与关节镜检查结果的一致性Kappa值为0.789,准确度为87.50%;MSCT、MRI检测患侧肱骨头侧HTRA均大于健侧(P<0.05);MSCT、MRI检测患侧肩胛盂侧IA均大于健侧,VA均小于健侧,MRI检测患侧肩胛盂侧AVCA大于健侧(P<0.05);MRI检测患侧肩关节HAD小于健侧,ACD大于健侧(P<0.05)。MSCT联合MRI在排球运动员肩关节损伤诊断及损伤程度判定方面均具有较高准确度,其中MRI能更准确测量肩关节骨性结构变化情况。

This study explored the value of multi-slice spiral CT(MSCT)and magnetic resonance imaging(MRI)in the diagnosis of volleyball players’shoulder joint injuries and their correlation with bone structure.72 cases of volleyball athletes with shoulder joint injuries were selected,and they were all examined by MSCT and MRI.The results of arthroscopy were regarded as the“gold standard”to compare the value of MSCT and MRI in diagnosing volleyball athletes’shoulder joint injuries and their correlation with bone structure.The results showed that the accuracy of MSCT combined with MRI in diagnosing the types of volleyball players’shoulder joint injuries was higher than MSCT and MRI alone(P<0.05).The Kappa value for the consistency of MSCT combined with MRI in diagnosing volleyball players’shoulder joint injury degree and arthroscopy results was 0.789,and the accuracy was 87.50%.MSCT and MRI detected HTRA on the side of the humeral head on the affected side were greater than the healthy side(P<0.05).MSCT and MRI showed that the IA of the ipsilateral scapular glenoid side was greater than that of the healthy side,while the VA was smaller than that of the healthy side.The MRI examination showed the AVCA of the ipsilateral scapular glenoid side was greater than that of the healthy side(P<0.05),the HAD of the ipsilateral shoulder joint was smaller than the healthy side,and the ACD greater than the healthy side(P<0.05).It can be seen that the combination of MSCT and MRI has a high accuracy in the diagnosis of volleyball players’shoulder joint injury and the determination of the degree of injury,and MRI can more accurately measure the changes of the bone structure for shoulder joint.