肩峰下撞击综合征(SIS)诊断方法MRI和MSCT的价值对比

目的:研究3.0T核磁共振与多层螺旋CT对肩峰下撞击综合征的诊断价值。方法:回归性分析2017年7月~2019年7月于某院就诊的肩峰下撞击综合征患者52例,所有患者均接受3.0T核磁共振与多层螺旋CT检查,比较两种方法诊断结果,并分析其诊断价值。结果:3.0T核磁共振的灵敏度和约登指数明显高于多层螺旋CT,差异有统计学意义(P<0.05);两种方法的特异度均为100%;3.0T核磁共振的诊断检出率(Ⅰ型85.71%,II型88.89%,Ⅲ型96.30%)高于多层螺旋CT(Ⅰ型71.42%,II型72.22%,Ⅲ型62.96%),差异有统计学意义(P<0.05)。结论:3.0T核磁共振与多层螺旋CT用于肩峰下撞击综合征患者诊断,均有较高的特异度。核磁共振具有更高的灵敏度,无辐射作用,分辨率更高,更适用于肩峰下撞击综合征患者的临床诊断。

Comparison of MRI and MSCT in the Diagnosis of Subacromial Impact Syndrome

Objective:To study the diagnostic value of 3.0 T MRI and MSCT in subacromial impingement syndrome. Methods:52 patients with subacromial impingement syndrome who were treated in a hospital from July 2017 to July 2019 were analyzed by regression.All patients were examined by 3.0 T MRI and MSCT.The diagnostic results of the two methods were compared and their diagnostic value was analyzed.Results:The sensitivity and yoden index of 3.0 T MRI were significantly higher than those of MSCT(P<0.05);The specificity of both methods was 100%;The diagnostic detection rate of 3.0 T MRI(type I 85.71%,type II88.89%,type III 96.30%)was higher than that of MSCT(type I 71.42%,type II 72.22%,type III62.96%,P<0.05).Conclusion:3.0 T MRI and MSCT have high specificity in the diagnosis of subacromial impingement syndrome.MRI has higher sensitivity,no radiation effect,higher resolution,and is more suitable for the clinical diagnosis of subacromial impingement syndrome.