| MRI不同序列对肩袖损伤诊断价值的比较 |
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| 引用本文： | 张贵祥,胡运胜,赵京龙,周根泉,李玉洁,楼薇,陈海曦. MRI不同序列对肩袖损伤诊断价值的比较[J]. 中国医学影像技术, 2005, 21(7): 1067-1069 |
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| 作者姓名： | 张贵祥 胡运胜 赵京龙 周根泉 李玉洁 楼薇 陈海曦 |
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| 作者单位： | 上海交通大学附属第一人民医院放射科,上海,200080 |
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| 摘 要： | 目的分析肩袖损伤在MRI不同序列上表现的病理基础,比较各种序列对肩袖损伤的检出效果.方法 24例患者,采用1.5 T MR机,肩关节线圈,常规斜矢状位T1WI,横轴位T2WI,斜冠状位PDFS, SPGR和STIR;层厚4 mm,层距0.1 mm.判断标准:依据肩袖的形态、信号,确定肿胀、断裂、萎缩.根据信号特征区分水肿、出血、纤维化、钙质沉积的病理基础.依据图像质量和显示的解剖细节确定不同序列的检出率,分为优、良、差三级.结果冈上肌腱损伤18例次,水肿4例次;冈下肌腱损伤5例次;肩胛下肌腱损伤4例次;小圆肌腱损伤2例次;肱二头长头肌腱损伤4例次;腱鞘炎1例次;肩关节积液4例次;肩峰下滑囊肿胀3例次;肱骨大结节撕脱骨折3例次;大结节骨折1例次.经卡方检验,各序列之间检出率差别显著(χ2＝17.134,P＜0.05),PDFS序列对肩袖损伤的显示最佳.结论 MRI是诊断肩袖损伤的重要手段,信号的差异可反映不同的病理特征,建议肩袖损伤应首选PDFS序列.
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| 关 键 词： | 肩袖 损伤 磁共振成像 诊断 |
| 文章编号： | 1003-3289(2005)07-1067-03 |
| 收稿时间： | 2005-04-18 |
| 修稿时间： | 2005-04-18 |
Comparison of diagnostic effects of rotator cuff tears at MRI different sequences |
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| ZHANG Gui-xiang,HU Yun-sheng,ZHAO Jing-long,ZHOU Gen-quan,LI Yu-jie,LOU Wei and CHEN Hai-xi. Comparison of diagnostic effects of rotator cuff tears at MRI different sequences[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(7): 1067-1069 |
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| Authors: | ZHANG Gui-xiang HU Yun-sheng ZHAO Jing-long ZHOU Gen-quan LI Yu-jie LOU Wei CHEN Hai-xi |
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| Affiliation: | Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China;Department of Radiology, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai 200080, China |
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| Abstract: | |
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| Keywords: | Rotator cuff Injuries Magnetic resonance imaging Diagnosis |
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