基于MRI的全面研究粘性囊炎及其与肌病和全身疾病的相关性
Gizem Timoçin Yığman1, Hande Özen Atalay2
1Koç Üniversitesi Hastanesi, Maltepe Mahallesi, Davutpaşa Caddesi No:4, 34450, Topkapı Zeytinburnu/İstanbul, Turkey. gizemtimocin1@gmail.com.
Radiologie (Heidelberg, Germany)
|August 26, 2025
概括
旋转手套肌,特别是上肌,在粘附性囊炎患者中非常普遍. 甲状腺功能障碍可能在粘附性囊炎的发展中起作用,但下角带的厚度不是可靠的预测指标.
科学领域:
- 整形医学
- 放射学
- 内分泌学
背景情况:
- 粘着性囊炎与甲状腺功能低下有关,但与高血压和糖尿病的关联仍有争议.
- 旋转手套 (RC) 肌病很常见,但其与粘合性囊炎的联系尚未得到充分证实.
- 这项研究研究了RC肌炎在粘附性囊炎中的患病率及其与全身状况和带厚度的关系.
研究的目的:
- 在被诊断为粘附性囊炎的患者中确定旋转手套肌的患病率.
- 检查粘合性囊炎与高血压,糖尿病和甲状腺功能障碍之间的联系.
- 评估下方带 (IGHL) 厚度与这些情况之间的关系.
主要方法:
- 对503名肩部MRI进行的粘合性囊炎患者进行了回顾性分析.
- 排除之前肩部创伤,手术或类风湿病的患者.
- 收集临床数据并测量IGHL厚度;RC肌的分类和统计分析.
主要成果:
- 在76. 94%的患者中出现旋转手套肌,最常见的是上肌 (74. 95%).
- 在粘附性囊炎患者中,甲状腺功能障碍的发生率明显高 (15. 90%) (p < 0. 001).
- 糖尿病与一般人群没有显著差异,而高血压的患病率较低 (21. 87%,p < 0. 001). 糖尿病与IGHL厚度增加相关,而甲状腺功能障碍与IGHL厚度下降相关.
结论:
- 在粘合性囊炎中,超脊椎肌明显过度,约占病例的75%.
- 甲状腺功能障碍可能导致粘合性囊炎的发生.
- 下部带的厚度不是旋转手套肌病的可靠预测指标.
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