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可以通过手术前的核磁共振成像来评估心脏关节退化吗?
Faruk Özdemir1, Tacettin Ayanoğlu2, Emine Dağıstan3
1Department of Radiology, Kahramanmaraş Afşin State Hospital, Afsin, Turkey.
Acta radiologica (Stockholm, Sweden : 1987)
|April 8, 2024
概括
在MRI上,心肌带 (Coracoacromial ligament,简称CAL) 的厚度随着退化而降低,这表明心肌下带阻塞综合征. 这种MRI测量可以预测高度CAL退化和肩部疼痛的非侵入性.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 运动医学 运动医学
背景情况:
- 在中年和老年人肩部疼痛的常见原因之一是亚体缩综合征.
- 胸关节 (Coracoacromial ligament,CAL) 退化是已知的下关节阻塞的一个指标.
研究的目的:
- 调查手术前MRI测量的CAL厚度和关节镜评估的CAL退化之间的相关性.
- 为了探索CAL退化,CAL厚度和旋转部撕裂类型之间的关系.
主要方法:
- 对接受关节镜肩部手术的560名患者 (2015-2021) 的回顾性分析.
- 从手术视频中评估关节镜CAL退行等级和旋转手套撕裂类型.
- 测量CAL厚度和其他肩膀参数 (角距离,关键肩膀角度等). 使用手术前的MRI.
主要成果:
- 在CAL厚度和CAL退化程度之间发现了显著的反向关系 (P < 0.001).
- 平均CAL厚度在正常患者中明显高于完全厚度 (P = 0.024) 和大量撕裂 (P < 0.001) 的患者.
- 与关节侧,胸口侧和全厚撕裂患者相比,大量撕裂的患者表现出明显较低的CAL厚度.
结论:
- 术前MRI评估的CAL厚度随着关节镜CAL退化进展而降低.
- 在MRI上CAL厚度是一个有价值的,高度CAL退化的非侵入性预测指标和亚体冲击综合征.
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