摘要
目的 探讨1.5T磁共振成像(MRI)与3.0T MRI及多层螺旋CT(MSCT)在肩袖损伤中的临床诊断价值,为肩袖损伤患者的诊断提供指导。方法 选2019年10月到2021年10月于我院就诊疑似肩袖损伤患者(92例)为研究对象。所有研究对象均行1.5T MRI与3.0T MRI及MSCT检查,并以关节镜检查为金标准,探讨三种方法在在肩袖损伤中的临床诊断价值。结果 92例疑似肩袖损伤患者中,关节镜检查确诊74例。肩袖完全撕裂28例,肩袖部分撕裂22例,肩袖变性10例,肩袖撕裂合并盂唇损伤14例。2例疑似肩袖损伤患者中,1.5T MRI诊断:灵敏度为74.32%,特异性为50.00%,准确性64.57%,阳性预测值85.94%;3.0T MRI诊断:灵敏度为93.24%,特异性为88.89%,准确性92.39%,阳性预测值97.18%。MSCT诊断:灵敏度为54.05%,特异性为16.67%,准确性46.74%,阳性预测值72.23%。1.5T MRI及3.0T MRI灵敏度、特异性、准确性、阳性预测值均高于MSCT,3.0T MRI灵敏度、特异性、准确性、阳性预测值均高于1.5T MRI,差异均有统计学意义(P<0.05)。结论 1.5T MRI与3.0T MRI及MSCT均可为临床诊治肩袖损伤提供可靠的影像学依据,但与MSCT相比,1.5T MRI及3.0T MRI对肩袖损伤的临床诊断价值更高,与1.5T MRI相比,3.0T MRI对肩袖损伤的临床诊断价值更高。
Objective To explore the clinical diagnostic value of 1.5T magnetic resonance imaging(MRI), 3.0T MRI and multi-slice spiral CT(MSCT) in rotator cuff injury, and provide guidance for the diagnosis of rotator cuff injury patients. Methods Patients(92 cases) with suspected rotator cuff injury who visited our hospital from October 2019 to October 2021 were selected as the research objects. All subjects underwent 1.5T MRI and 3.0T MRI and MSCT examinations, and arthroscopy was used as the gold standard to explore the clinical diagnostic value of the three methods in rotator cuff injuries. Results Among 92 patients with suspected rotator cuff injury, 74 cases were confirmed by arthroscopy. There were 28 cases of complete rotator cuff tear, 22 cases of partial rotator cuff tear, 10 cases of rotator cuff degeneration, 14 cases of rotator cuff tear combined with labrum injury. In 2 patients with suspected rotator cuff injury, 1.5T MRI diagnosis: sensitivity was 74.32%, specificity was 50.00%, accuracy was 64.57%, positive predictive value was 85.94%;3.0T MRI diagnosis: sensitivity was 93.24%, specificity was 88.89 %, the accuracy is 92.39%, and the positive predictive value is 97.18%. MSCT diagnosis: sensitivity is 54.05%, specificity is 16.67%, accuracy is 46.74%, and positive predictive value is 72.23%. The sensitivity, specificity, accuracy, and positive predictive value of 1.5T MRI and 3.0T MRI are higher than MSCT, and the sensitivity, specificity, accuracy, and positive predictive value of 3.0T MRI are higher than 1.5T MRI, and the differences are statistically significant.(P<0.05). Conclusion Both 1.5T MRI and 3.0T MRI and MSCT can provide reliable imaging evidence for the clinical diagnosis and treatment of rotator cuff injury. However, compared with MSCT, 1.5T MRI and 3.0T MRI have a higher clinical diagnostic value for rotator cuff injury. Compared with T MRI, 3.0T MRI has a higher clinical diagnostic value for rotator cuff injury.
作者
彭杰
王良勇
马静
王启伟
PENG Jie;WANG Liang-yong;MA Jing;WANG Qi-wei(Image Center of the First Division Hospital of Xinjiang Production and Construction Corps,Xinjiang 843000,China;Orthopedic Department of the First Division Hospital of Xinjiang Production and Construction Corps,Xinjiang 843000,China;Image Center of Xinjiang Production and Construction Corps General Hospital,Xinjiang 830000,China;Physical examination in the First Division Hospital of Xinjiang Production and Construction Corps Ministry,Xinjiang 843000,China)
出处
《中国CT和MRI杂志》
2023年第1期158-160,共3页
Chinese Journal of CT and MRI
基金
南疆重点产业创新发展支撑计划(2021DB022)。
