检验医学与临床2018，Vol.15Issue(5)：580-582,3.DOI:10.3969/j.issn.1672-9455.2018.05.002
肩锁关节X线轴位投照的应用研究分析
Application of X-ray axial projection of acromioclavicular joint
摘要
Abstract
Objective To explore the clinical value of modified acromioclavicular joint X-ray axial projection technique and the corresponding anatomical basis.Methods A total of 30 patients with clear trauma history were selected from June 1,2014 to March 1,2016 in our hospital orthopedic ward.And patients who had un-dergone acromioclavicular joint dislocation within two weeks after injury.According to the different X-ray photography technology,patients were divided into two conventional group and axial group,15 cases in each group.The conventional group of patients had taken the shoulder X-ray of anteroposterior position and shoul-der stress position.And the the shoulder acupuncture joint X-ray was added in axial group.The type and se-verity of acromioclavicular joint dislocation were compared between the two groups.The distal displacement of the clavicle and the injury of the deltoid,joint capsule,trapezius and acromioclavicular ligament were recorded and analyzed.Results There was no statistical difference in the type and severity of acromioclavicular disloca-tion compared with the axial group(P>0.05).There was no significant difference in the accuracy of diagnosis of deltoid,joint capsule,trapezius and acromioclavicular ligament injury between the two groups(P>0.05). The diagnostic accuracy of distal retinal detachment in the conventional group was significantly lower than in the axial group(P<0.05).Conclusion The improved acromioclavicular joint X-ray axial projection technique could be used to observe the posterior displacement of the distal clavicle w hich cannot be observed in the past, so as to improve the accuracy of the diagnosis of the posterior transposition of the distal clavicle.It could be popularized in clinic.关键词
肩锁关节脱位/肩峰下间隙/X线/轴位投照Key words
acromioclavicular joint dislocation/subacromial space/X-ray/axial projection分类
医药卫生引用本文复制引用
胡栢均,高大伟,吴宇峰,林志炯,唐剑邦..肩锁关节X线轴位投照的应用研究分析[J].检验医学与临床,2018,15(5):580-582,3.基金项目
广东省中山市医学科研项目(2014A020308). （2014A020308）
