【摘要】 本文通过高频超声检查分析了肩袖病变与肱二头肌长头肌腱(long head of the biceps brachii tendon, LHBT)病变的临床特点及相关性。文中对32例肩关节镜手术患者的术前肩关节超声检查结果与肩关节镜手术结果进行了一致性检验。按照不同肩袖病变类型对患者进行分组,对组间LHBT病变类型的差异进行了比对分析,并对LHBT病变类型及病变总发生率与肩袖撕裂部位、范围大小均进行了相关性分析。结果证实术前肩关节超声检查结果与关节镜手术结果的诊断一致性中等偏高。LHBT病变类型在不同肩袖撕裂类型中总的差异不显著,而LHBT半脱位在不同肩袖撕裂部位的组间差异较为显著。LHBT病变类型与肩袖撕裂范围大小之间无明显相关性。随着肩袖撕裂范围的增大,LHBT病变发生率升高,二者呈正相关。由本文结果可知,LHBT病变与肩袖病变存在一定相关性,肩袖损伤的早期诊断与修复可防止LHBT病变进一步恶化。更多还原

【Abstract】 The aim of this study was to analyze the clinical characteristics and correlation between rotator cuff injury and long head of the biceps brachii tendinopathy by ultrasonography. The diagnostic consistency between the results of preoperative shoulder ultrasound examination and the results of shoulder arthroscopy in 32 patients was tested. The differences of LHBT between two groups were compared and analyzed. The correlation between the type and incidence of LHBT and the range of rotator cuff tear was also analyzed. The results of preoperative shoulder ultrasound examination and arthroscopic surgery were moderately high in diagnostic consistency. LHBT types showed no significant difference among different tear types of rotator cuff, while LHBT subluxation showed significant difference among groups.There was no significant correlation between LHBT type and the tear range of rotator cuff.With the increase of tear range,the total incidence of LHBT increased.In conclusion,LHBT are correlated with rotator cuff injury.Early diagnosis and repair of rotator cuff injury will prevent further deterioration of LHBT.更多还原