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目的探讨肩袖损伤MRI关节造影、MRI常规检查、超声的诊断准确度比较。方法选择新疆喀什地区第二人民医院经关节镜诊断为肩袖损伤入院治疗的30例患者,其中男性18例,女性12例;年龄36~68岁,平均年龄52.8岁。其中肩袖全层撕裂10例,部分撕裂17例,肩袖变性3例。病程2~8年。行MRI关节造影、MRI常规检查及超声检查,并根据检查方式的不同分为MRI造影组、MRI组、超声组。以关节镜检查结果为标准,比较3种检查的肩袖损伤检出情况。结果 MRI造影组诊断准确度为96.7%,MRI组为83.3%,超声组为86.7%;MRI造影组诊断准确度高于其他两组(P<0.05)。超声组与MRI组诊断准确度差异无统计学意义(P>0.05)。结论 MRI关节造影、MRI常规检查及超声对肩袖损伤均有良好的诊断效果,其中MRI关节造影诊断准确度最高。
Objective To investigate the diagnostic accuracy of MRI in rotator cuff injury MRI and routine MRI examination. Methods Thirty patients diagnosed as rotator cuff injury admitted to the Second People’s Hospital of Kashi Prefecture of Xinjiang Uygur Autonomous Region were selected, including 18 males and 12 females. The average age was 52.8 years. Including rotator cuff tears in 10 cases, partial tear in 17 cases, rotator cuff degeneration in 3 cases. Course of 2 to 8 years. MRI scintigraphy, routine MRI examination and ultrasound examination, and according to the examination method is divided into MRI contrast group, MRI group, ultrasound group. According to the results of arthroscopy, the detection of rotator cuff injuries in 3 kinds of examinations was compared. Results The accuracy of MRI was 96.7% in MRI group, 83.3% in MRI group and 86.7% in ultrasound group. The diagnostic accuracy of MRI group was higher than that of the other two groups (P <0.05). There was no significant difference in diagnostic accuracy between ultrasound group and MRI group (P> 0.05). Conclusions MRI, MRI and ultrasonic diagnosis of rotator cuff injury have good diagnostic results, of which MRI joint angiography has the highest diagnostic accuracy.