冈上肌出口位X线摄片在肩袖损伤诊断中的意义

目的:探讨冈上肌出口位X线摄片在肩袖损伤影像学诊断中的应用价值。方法:回顾性分析21例经MRI确诊肩袖损伤的患者的相关影像学资料,15例患者在做MRI检查前摄取了侧肩关节冈上肌出口位X线片,6例患者仅摄取了侧肩关节X线正位片,将其影像学诊断结果进行对比。结果:21例患者MRI检查全部提示为肩袖损伤。15例患者摄取侧肩关节冈上肌出口位X线片测得肩峰-肱骨头(A-H)间距不同程度狭窄,其中3例患者A-H间距≤5.1～6.9mm、6例患者A-H间距≤7.0～7.9mm、6例患者A-H间距≤8.0～9.0mm,所见构成骨未见明确骨质病变征象;6例患者仅摄取侧肩关节正位的X线片诊断均为阴性。结论:冈上肌出口位X线摄片能清晰测量A-H间距,提示肩袖损伤的存在,对患者的下一步检查及制定治疗方案具有重要的临床意义。

Research on the diagnostic significance of supraspinatus export slice X-ray radiography in rotator cuff injury

Objective： To explore the application value of supraspinatus export slice X-ray radiography in rotator cuff injury. Methods： To conduct retrospective analysis on imaging data of 21 cases with rotator cuff injury diagnosed by MRI. Before the MRI examination, 6 patients received the affected side shoulder X-ray films and 15 patients did the affected side supraspinatus export slice X-ray films. The results between the two groups were analyzed. Results： Twenty-one patients were diagnosed in rotator cuff injury by MRI, 15 patients were in acromion-humeral head spacing stenosis varying degrees. The result from 3 cases of patients A-H spacing is 5.1～6.9mm. 6 cases of patients A-H spacing were7.0～7.9mm, and 6 cases of patients A-H spacing is 8.0～9.0mm. No signs of bone lesions. Six cases of patients of shoulder anteroposterior X-ray normal. Conclusion： Supraspinatus export slice X-ray film can offered help to constitute the therapy plan of clinical treatment.