【摘要】 目的探讨肩关节周围炎不同临床分期的MRI特征,为肩关节周围炎临床分期提供相关支持数据,从而指导临床治疗。方法选择2015年6月至2017年2月收治的30例肩关节周围炎患者作为观察组,再选择同期性别、年龄与观察组相匹配的8例健康志愿者为对照组。利用MR成像观察并测量肩关节周围炎患者及对照组肩关节周围结构,统计、分析不同临床分期的肩关节周围结构改变。结果观察组腋窝关节囊厚度、喙肱韧带厚度、喙突下脂肪三角被取代比率大于对照组,2组比较差异具有统计学意义(P<0.05);腋窝关节囊厚度在观察组第3期与第1、2期相比,差异具有统计学意义(P<0.05);喙肱韧带厚度、喙突下脂肪三角被取代比率在肩关节周围炎组第1、2、3期之间相比,差异均无统计学意义(P>0.05)。结论不同病程时期的肩关节周围炎肩关节周围结构改变不同,腋窝关节囊厚度可以作为诊断肩关节周围炎的重要参考依据,并可指导临床分期。喙肱韧带厚度、喙突下脂肪三角被取代比率可以作为肩关节周围炎诊断依据,但不能作为指导临床分期的依据。更多还原

【Abstract】 Objective To investigate the MR features of different clinical staging of scapulohumeral periarthritis and provide relevant support data for the clinical staging of scapulohumeral periarthritis,so as to guide clinical treatment. Methods 30 patients with scapulohumeral periarthritis received in the hospital from June 2015 to February 2017 were selected to form the observation group and 8 same-sex and same-aged volunteers without such disease were selected to form the control group. MR imaging was used to observe and measure the structure of shoulder joint of the people in the two groups and statistical analysis was performed to analyze the changes in the structure of the shoulder around different clinical stages. Results The thickness of joint capsule and coracohumeral ligament( CHL),the ratio of subcoracoid fat triangle replaced were significantly greater in patients with scapulohumeral periarthritis than those in the control group,and the difference was statistically significant( P < 0. 05). Comparing the thickness of joint capsule in the third stage of the scapulohumeral periarthritis group compare with those in the first and second stages,the difference was statistically significant( P < 0. 05). There was no statistically significant difference( P > 0. 05) in the thickness of the coracohumeral ligament and the ratio of subcoracoid fat triangle replaced in the scapulohumeral periarthritis group between the 1 st,2 nd and 3 rd stages. Conclusion Patients with different stages have different structures around the shoulder joints. The thickness of joint capsule can be used as an important reference for diagnosing scapulohumeral periarthritis and can guide the clinical staging. The thickness of coracohumeral ligament and the ratio of subcoracoid fat triangle replaced can be used as a basis for diagnosing scapulohumeral periarthritis,but it cannot be used as a guideline for clinical staging.更多还原