| 成雪晴,卢漫,郭璇妍,贺凡丁,张振奇.肩峰下撞击综合征的经皮超声引导下肩峰下滑囊造影表现[J].中国医学影像技术,2016,32(8):1260~1262 |
| 肩峰下撞击综合征的经皮超声引导下肩峰下滑囊造影表现 |
| Percutaneous ultrasound-guided subacromial bursography manifestations of subacromial impingement syndrome |
| 投稿时间：2015-09-22 修订日期：2015-11-03 |
| DOI：10.13929/j.1003-3289.2016.08.029 |
| 中文关键词: 肩撞击综合征 超声检查,介入性 |
| 英文关键词:Shoulder impingement syndrome Ultrasonography, interventional |
| 基金项目:四川省科技厅课题（2013JY0183）。 |
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| 中文摘要: |
| 目的 探讨肩峰下撞击综合征（SIS）的经皮超声引导下肩峰下滑囊造影（PUSB）表现。方法 对150例经临床诊断为SIS患者行PUSB检查，动态观察造影剂在滑囊内的弥散情况及是否进入肩袖、关节腔。结果 53例造影剂在滑囊内呈线状均匀分布，诊断为单纯性肩峰下滑囊炎。97例造影剂在滑囊内分布不均匀，诊断为粘连性肩峰下滑囊炎。40例可见造影剂由滑囊进入肩袖肌腱，但未达肱骨头表面；32例可见造影剂由滑囊进入肩袖肌腱，到达肱骨头表面；78例造影剂未进入肩袖肌腱。结论 PUSB可实时动态评估肩峰下滑囊炎、滑囊粘连、肩袖损伤等情况，对SIS的诊断具有较高的应用价值。 |
| 英文摘要: |
| Objective To explore the percutaneous ultrasound-guided subacromial bursography (PUSB) manifestations in patients with subacromial impingement syndrome (SIS). Methods Totally 150 patients with SIS confirmed by clinical diagnosis underwent PUSB, and the distribution of contrast mediain bursa mucosa, rotator cuff and articular cavity were dynamically observed. Results There were 53 cases with linear uniform distribution contrast media in bursa mucosa, and accordingly diagnosed as simple subacromial bursitis. There were 97 cases with non uniform distribution contrast media in bursa mucosa, and accordingly diagnosed as adhesive subacromial bursitis. The contrast media leaked into rotator cuff tendon without reaching the surface of humeral head in 40 cases, while reached the surface of humeral head in 32 cases. There were 78 cases of rotator cuff tendon without contrast media. Conclusion PUSB can real-time dynamicly evaluate subacromial bursitis, adhesion of bursa, rotator cuff injury and so on. It has a great value for diagnosis of SIS. |
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