本文關(guān)鍵詞：偏癱肩的磁共振中可量化指標(biāo)的探討與分析　出處：《青島大學(xué)》2015年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 肩關(guān)節(jié) 偏癱 磁共振成像 肩袖 測量

【摘要】：目的:探討并分析偏癱肩的磁共振中可量化指標(biāo)的改變材料與方法:收集有腦血管意外病史的患者行肩關(guān)節(jié)磁共振掃描,均有不同程度肩關(guān)節(jié)癥狀的患者54例。其中,男36例,女18例,年齡45~80歲,平均年齡62.5歲。54例患者中,腦梗塞41例,腦溢血3例,腦血栓形成10例。全部病例都經(jīng)過顱腦MRI檢查證實(shí)。住院時(shí)間15~256天,平均95天。另30例正常人作為對照組。利用Philips磁共振成像儀,采用肩關(guān)節(jié)線圈,應(yīng)用FSE,對患者肩關(guān)節(jié)進(jìn)行冠狀位T1WI FS序列、PDWI-FS序列,軸位、矢狀位、冠狀位T2WI-FS序列掃描。在獲得的肩關(guān)節(jié)斷層圖像上測量肩肱間隙(mm)、喙鎖間隙(mm)、三角肌下囊積液厚度(mm)、肩關(guān)節(jié)內(nèi)積液厚度(mm)、喙突下囊積液厚度(mm)、肩峰下囊積液厚度(mm),同時(shí)觀察上述結(jié)構(gòu)形態(tài)和周圍的毗鄰關(guān)系。使用Spearman’s rho相關(guān)分析方法,分析肩肱間隙(mm)、喙鎖間隙(mm)、三角肌下囊(mm)、肩關(guān)節(jié)內(nèi)積液厚度(mm)、喙突下囊(mm)、肩峰下囊積液厚度(mm)與分別與肩關(guān)節(jié)損傷程度的相關(guān)性;使用Pearson相關(guān)分析這些測量指標(biāo)相互之間的相關(guān)性。結(jié)果:1、三角肌下囊積液厚度、肩關(guān)節(jié)內(nèi)積液厚度與損傷程度有相關(guān)性,相關(guān)系數(shù)分別為r=0.304(P0.05),0.463(P0.01),三角肌下囊、肩關(guān)節(jié)內(nèi)積液厚度與損傷程度具有相關(guān)性且有統(tǒng)計(jì)學(xué)意義。2、肩關(guān)節(jié)內(nèi)積液厚度與肩肱間隙相關(guān)系數(shù)r=0.562(P0.01),肩峰下囊積液厚度與肩肱間隙相關(guān)系數(shù)r=0.365(P0.01),肩關(guān)節(jié)內(nèi)積液厚度與喙鎖間隙相關(guān)系數(shù)r=0.294(P0.05),肩峰下囊積液厚度與肩關(guān)節(jié)內(nèi)積液厚度相關(guān)系數(shù)r=0.367(P0.05)。結(jié)論:MRI能夠清楚的顯示肩肱間隙、喙鎖間隙、三角肌下囊積液厚度、肩關(guān)節(jié)內(nèi)積液厚度、喙突下囊積液厚度、肩峰下囊積液厚度。其中三角肌下囊積液厚度、肩關(guān)節(jié)內(nèi)積液厚度與肩關(guān)節(jié)損傷程度具有相關(guān)性,對于偏癱肩的診斷具有指導(dǎo)意義。同時(shí),肩關(guān)節(jié)內(nèi)積液厚度與肩肱間隙、肩峰下囊積液厚度、喙鎖間隙和肩峰下囊積液厚度與肩肱間隙之間具有相關(guān)性,在一定程度上也可以作為輔助診斷偏癱肩的可量化指標(biāo)。
[Abstract]:Objective: To explore and analyze the materials and methods of quantifiable index in hemiplegic shoulder magnetic resonance. We collected magnetic resonance imaging of shoulder joints in 54 patients with history of cerebrovascular accident, and all of them had varying degrees of shoulder joint symptoms. Among them, there were 36 males and 18 females, aged 45~80 years, with an average age of 62.5 years. In 54 patients, 41 cases of cerebral infarction, 3 cases of cerebral hemorrhage, 10 cases of cerebral thrombosis. All cases were confirmed by craniocerebral MRI examination. The duration of hospitalization was 15~256 days, with an average of 95 days. The other 30 normal subjects were used as the control group. Using Philips magnetic resonance imaging system, shoulder joint coil and FSE were used to carry out coronal T1WI FS sequence, PDWI-FS sequence, axial, sagittal and coronal T2WI-FS sequence. Measuring clearance in the shoulder joint shoulder images obtained on (mm), coracoclavicular gap (mm), subdeltoid bursa effusion thickness (mm), shoulder joint effusion thickness (mm) and subcoracoid bursa effusion thickness (mm), subacromial bursa effusion thickness (mm), and observe the relationship the structure and the surrounding. Using Spearman correlation analysis method "s Rho analysis (mm), shoulder brachial clearance coracoclavicular gap (mm), bursa subdeltoidea (mm), shoulder joint effusion thickness (mm) and subcoracoid bursa (mm), subacromial bursa effusion thickness (mm) and the correlation with the degree of shoulder joint injury respectively. The use of Pearson; correlation analysis between these measurements. Results: 1. There was a correlation between the thickness of the inferior sacrocystic effusion and the thickness of the shoulder joint effusion and the degree of injury. The correlation coefficients were r=0.304 (P0.05), 0.463 (P0.01), and the thickness of the inferior deltoid bursa and the shoulder joint effusion was correlated with the degree of injury. 2, shoulder joint effusion thickness with the shoulder gap coefficient r=0.562 (P0.01), subacromial bursa effusion associated with the shoulder thickness gap coefficient r=0.365 (P0.01), shoulder joint effusion and the thickness of the coracoclavicular gap correlation coefficient r=0.294 (P0.05), and the thickness of the subacromial bursa effusion of shoulder joint effusion in the thickness of the correlation coefficient r=0.367 (P0.05). Conclusion: MRI can display the shoulder gap, coracoclavicular gap, subdeltoid bursa effusion thickness, shoulder joint effusion thickness, subcoracoid bursa effusion thickness, subacromial bursa effusion thickness clearly. The thickness of the effusion of the inferior deltoid, the thickness of the effusion in the shoulder joint and the degree of shoulder joint damage are related, which is of guiding significance for the diagnosis of hemiplegic shoulder. At the same time, the thickness of shoulder joint effusion is related to the shoulder brachial space, the thickness of the acromial bursa, the rostral lock space and the thickness of the acromial bursa and the shoulder and brachial space. To some extent, it can also be used as a quantitative index to assist the diagnosis of hemiplegic shoulder.
【學(xué)位授予單位】：青島大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2015
【分類號】：R743.3;R445.2

【共引文獻(xiàn)】

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