[1]应亚草,彭兆祥,李瑾,等.1129例肩袖损伤患者的冈上肌出口位X线片分析[J].中医正骨,2018,30(03):39-41.
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1129例肩袖损伤患者的冈上肌出口位X线片分析()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第30卷
期数:
2018年03期
页码:
39-41
栏目:
影像诊断
出版日期:
2018-03-20

文章信息/Info

作者:
应亚草1; 彭兆祥2; 李瑾2; 王志锋1; 林杰2
1.浙江省宁波市中医院,浙江 宁波 315010; 2.浙江省宁波市医疗中心李惠利医院,浙江 宁波 315040
关键词:
肩关节;  肩袖损伤;  肩峰;  冈上肌;  放射摄影术
摘要:
目的:探讨冈上肌出口位X线片在肩袖损伤诊断中的价值及肩袖损伤的X线表现。方法:选取2014年1月至2016年12月经关节镜检查确诊为肩袖损伤,损伤涉及冈上肌肌腱,肌腱损伤超过50%厚度,且进行了标准冈上肌出口位X线检查的1129例患者(1129肩)作为研究对象。男422例,女707例。年龄29～84岁,中位数53岁。分析患者的冈上肌出口位X线片,分别按照Bigliani标准和Toivonen标准对患者的肩峰形态进行分类,测量肩峰-肱骨头间距。结果:1129例患者的冈上肌出口位X线片均清晰显示了患侧的肩峰形态、喙突形态、肩胛骨体部等结构。按照Bigliani标准,Ⅰ型肩峰53例(4.69%)、Ⅱ型肩峰437例(38.71%)、Ⅲ型肩峰639例(56.60%)。按照Toivonen标准,Ⅰ型肩峰49例(4.34%)、Ⅱ型肩峰386例(34.19%)、Ⅲ型肩峰694例(61.47%)。1129例患者的肩峰-肱骨头间距为1.2～23 mm,其中肩峰-肱骨头间距<5 mm者30例(2.66%)、5～<10 mm者757例(67.05%)、≥10 mm者342例(30.29%)。结论:冈上肌出口位X线片能清晰显示肩峰形态,并准确测量肩峰-肱骨头间距,有助于肩袖损伤的诊断; 肩袖损伤者的肩峰形态以Ⅱ型肩峰和Ⅲ型肩峰为主,肩峰-肱骨头间距大多<10 mm。

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更新日期/Last Update: 2018-08-02