| 李迎春,梁英,杜一婷,张涛,刘强.超声扫查肩后方关节囊厚度及盂肱距离对分期诊断冻结肩的价值[J].中国医学影像技术,2019,35(8):1147~1150 |
| 超声扫查肩后方关节囊厚度及盂肱距离对分期诊断冻结肩的价值 |
| Value of ultrasound scanning of posterior capsule thickness and glenohumeral distance of shoulder for frozen shoulder staging |
| 投稿时间：2019-04-01 修订日期：2019-06-21 |
| DOI：10.13929/j.1003-3289.201904006 |
| 中文关键词: 滑囊炎 关节囊 肩关节 超声检查 冻结肩 |
| 英文关键词:bursitis joint capsule shoulder joint ultrasonography frozen shoulder |
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| 中文摘要: |
| 目的 探讨超声扫查肩后方关节囊厚度（PCT）、盂肱距离（GHD）在冻结肩临床分期中的价值。方法 选择100例临床诊断为单侧冻结肩患者，根据临床分期标准分为渐冻期（Ⅰ期组，51肩）、冻结期（Ⅱ期组，35肩）、解冻期（Ⅲ期组，14肩）及对照组100肩（健侧肩）。采用超声观察冻结肩患者双侧肩后方关节囊和盂肱距离，并分别测量患侧肩与健侧肩的后方PCT及GHD。比较4组PCT和GHD的差异。结果 Ⅰ期组患侧肩后方关节囊边缘清晰，PCT与对照组比较差异无统计学意义（P>0.05），而患侧GHD较对照组增大；Ⅱ期组患侧肩后方关节囊边缘变模糊，PCT较对照组增厚，GHD较对照组减小；Ⅲ期组患侧肩后方关节囊边缘较清楚，PCT、GHD与对照组比较差异均无统计学意义（P均>0.05）。结论 超声扫查肩后方PCT及GHD可以协助临床对冻结肩进行精准分期。 |
| 英文摘要: |
| Objective To explore the value of ultrasound scanning of the posterior capsule thickness of shoulder (PCT) and glenohumeral distance (GHD) for clinical staging of frozen shoulder (FS). Methods Totally 100 patients with clinically diagnosed unilateral frozen shoulder were recruited. According to clinical staging standards, 51 shoulders were divided into stageⅠFS group (freeing stage), 35 shoulders into stage Ⅱ FS group (frozen stage), 14 shoulders into stage Ⅲ FS group (thawing stage), while 100 unaffected side shoulders of FS patients were taken as control group. Ultrasonic findings of the posterior capsule of shoulder and GHD were observed, while PCT and GHD of the affected shoulders and the unaffected shoulders were all measured and compared. Results In stageⅠFS group, the margin of the posterior capsule of the affected shoulders were clear, there was no significant difference of PCT between stage I FS group and control group (P>0.05), while GHD of the affected side shoulders were larger than that of the control group (mm vs mm, P<0.05). In stage ⅡFS group, the margin of the posterior capsule of the affected shoulders were blurred, and PCT of the affected side shoulders were thicker than that of the control group (mm vs mm, P<0.05), GHD of the affected side shoulders were smaller than that of the control group (mm vs mm, P<0.05). In stage Ⅲ FS group, the margin of the posterior capsule of the shoulders were clearer. There was no statistical significant difference of PCT nor GHD between stage Ⅲ FS group and control group (P>0.05). Conclusion Ultrasound scanning of PCT and GHD can contribute to clinical staging of frozen shoulder. |
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