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肩袖间隙结构的MR平扫和关节造影最佳显示方位探究

耿宽 李桂华

昆明医科大学学报2024,Vol.45Issue(3):174-179,6.
昆明医科大学学报2024,Vol.45Issue(3):174-179,6.DOI:10.12259/j.issn.2095-610X.S20240326

肩袖间隙结构的MR平扫和关节造影最佳显示方位探究

Exploration of the Optimal Display Orientation of MR Plain and Arthrographic Images of Rotator Cuff Interstitial Structures

耿宽 1李桂华1

作者信息

  • 1. 云南省滇南中心医院/红河州第一人民医院医学影像科,云南 红河 661699
  • 折叠

摘要

Abstract

Objective To investigate the optimal display orientation of rotator cuff space(RI)structures on magnetic resonance(MR)scanning and arthrography.Methods A total of 80 patients who underwent MR scanning and arthrography in our hospital from January 2021 to March 2023 were selected and all of them were confirmed to have normal RI by shoulder arthroscopy.The RI and the superior glenohumeral ligament(SGHL),the long head of biceps tendon(LHBT),and the coracohumeral ligament(CHL)in the transverse axial,oblique sagittal,and oblique coronal positions were counted in the transverse axial,oblique sagittal,and oblique coronal positions on MR scanning and arthrography.Results The display rate of RI structure by oblique sagittal scan was 17.50%higher than that by horizontal scan,0.00%and oblique coronal scan,5.00%(4/80)(χ2 = 18.739,P<0.001).The display of SGHL,LHBT and CHL in RI by MR Oblique sagittal scan was better than that in transverse axis and oblique coronal scan(χ2 = 26.036,P<0.001).MR oblique sagittal arthrography showed a higher rate of RI structures 57.50%than transverse axial 5.00%and oblique coronal 17.50%(χ2 = 61.534,P<0.001);MR oblique sagittal arthrography showed better display of SGHL,LHBT,and CHL structures in RI than transverse axial and oblique coronal(χ2 = 64.569,P<0.001);MR oblique sagittal arthrography had a significantly higher rate of complete visualization of RI structures in 57.50%than MR oblique sagittal plain scanning in 17.50%(χ2 = 27.307,P<0.05).Conclusion Oblique sagittal position is the optimal display orientation for MR scanning and arthrography to show RI structures.

关键词

肩袖间隙结构/磁共振/平扫/关节造影/显示方位/临床价值

Key words

Rotator cuff interstitial structures/Magnetic resonance/Plain scanning/Arthrography/Orientation of display/Clinical value

分类

医药卫生

引用本文复制引用

耿宽,李桂华..肩袖间隙结构的MR平扫和关节造影最佳显示方位探究[J].昆明医科大学学报,2024,45(3):174-179,6.

基金项目

青岛大学医疗集团科研项目(YLJT20222012) (YLJT20222012)

昆明医科大学学报

OACSTPCD

1003-4706

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