| 摘要: |
| 摘 要 目的 探讨高频超声对原发性冻结肩的诊断价值。方法 回顾分析临床确诊的86例原发性冻结肩患者91个肩关节和147例肩痛患者162个肩关节的超声检查资料，对比两组病例盂肱关节下方关节囊（IC）、喙肱韧带（CHL）厚度，肩袖间隙回声及血流信号，盂肱关节、肱二头肌长头（LHB）腱鞘、肩峰下-三角肌下滑囊（SASD）积液等指标，比较各指标单独和联合诊断原发性冻结肩的价值。结果 IC及CHL的厚度、LHB腱鞘积液、肩袖间隙低回声及血流信号等指标的组间差异有统计学意义（P＜0.05）。Logistic回归分析示IC厚度、CHL厚度及肩袖间隙低回声3项指标组间差异有统计学意义（P＜0.001）。比较3项指标单独诊断冻结肩的ROC曲线，曲线下面积（AUC）分别为0.939、0.921、0.861，敏感度分别为92.0%、85.1%、82.8%，特异性分别为92.7%、90.1%、89.4%；联合诊断AUC为0.985，敏感度97.7%，特异性97.4%。结论 高频超声可通过IC厚度、CHL厚度及肩袖间隙低回声等指标为原发性冻结肩患者提供诊断依据，单独诊断以IC厚度价值最高，3项指标联合诊断具有更高价值。 |
| 关键词: 超声检查 肩关节 粘连性关节囊炎 |
| DOI： |
| 投稿时间：2018-09-10修订日期：2018-09-27 |
| 基金项目: |
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| Value of high frequency ultrasound for assessment of primary frozen shoulder |
| qijiagao,GUO Daoning |
| (Mianyang Central Hospital;Department of Ultrasound,Mianyang Central Hospital) |
| Abstract: |
| ABSTRACT objective To detect the value of high frequency ultrasound for assessment of primary frozen shoulder. Methods Retrospective analysis of 86 cases of primary frozen shoulder patients with 91 shoulder joints and 147 shoulder pain patients with 162 shoulder joints, compare the thickness of inferior capsule(IC), coracohumeral ligament(CHL), blood flow in rotator cuff interval, and the abnormality of ankle joint,long head of biceps (LBH)tendon sheath , subacromial-subdeltoid bursa (SASD) between the two groups,discuss the value of indicators for the diagnosis of primary frozen shoulders individually and in combination. Results There were differences in the thickness of IC, CHL between the tow groups，as well as the effusion around biceps tendon ,the low back echo and blood flow in rotator cuff interval (P<0.05). There were statistically significant differences in the thickness of IC，CHL and the low back echo in rotator cuff interval between the two groups with logistic regression analysis (P<0.05). The ROC curves of the frozen shoulders were compared with these three indicators. The area under the curve (AUC) was 0.939, 0.921and 0.861, respectively. The sensitivity was 92.0%, 85.1%, and 82.8%, respectively. The sexes were 92.7%, 90.1% and 89.4%, respectively; the combined diagnosis AUC was 0.985, the sensitivity was 97.7%, and the specificity was 97.4%. Conclusion High-frequency ultrasound can provide a diagnosis basis for patients with primary frozen shoulder through the thickness of IC,CHL and the low back echo in rotator cuff interval. The thickness of IC is the highest diagnostic value, and the combined diagnosis of these three indicators is of higher value. |
| Key words: Ultrasonography Shoulder joint Adhesive capsulitis |
