本文關(guān)鍵詞：肩關(guān)節(jié)正位X線攝影技術(shù)的改良與應(yīng)用　出處：《醫(yī)療裝備》2016年23期 　論文類型：期刊論文

  更多相關(guān)文章： 肩關(guān)節(jié)正位 X線攝影技術(shù) Bankart損傷 Hill-Sacks病

【摘要】：目的探討肩關(guān)節(jié)正位X線攝影技術(shù)的3種投照方法與臨床應(yīng)用。方法選取醫(yī)院2015年9月至2016年4月拍攝肩關(guān)節(jié)正位的患者109例;肩關(guān)節(jié)正位3種常規(guī)投照位置分別為內(nèi)旋位、外旋位和中間正位像,統(tǒng)計檢查結(jié)果。結(jié)果所示患者中類風(fēng)濕性關(guān)節(jié)炎16例,骨關(guān)節(jié)炎11例,凍肩4例,滑囊炎5例,Bankart損傷3例,Hill-Sachs缺損2例,骨質(zhì)疏松癥16例,未見明顯異常的62例。其中,內(nèi)旋位的正位像適用于證明習(xí)慣性肩關(guān)節(jié)脫臼出現(xiàn)的肱骨頭后外側(cè)部的骨缺損(Hill-Sachs病);外旋位能較好地顯示肱骨頭的形態(tài),對于大結(jié)節(jié)骨折和岡上肌肌腱鈣質(zhì)沉著的診斷有臨床意義;中間正位可以顯示肱骨近段和上肢帶骨的骨折和(或)脫位,還可以顯示肌肉,肌腱或關(guān)節(jié)囊結(jié)構(gòu)的鈣質(zhì)沉積,諸如骨質(zhì)疏松和關(guān)節(jié)炎等病理改變得到很好的顯示。結(jié)論按照上述所說體位進行肩關(guān)節(jié)正位投照,可獲取高質(zhì)量的影像圖片,有利于醫(yī)師完成明確地診斷和精準(zhǔn)治療。
[Abstract]:Objective to explore three methods and clinical application of shoulder orthographic radiography. Methods 109 patients with shoulder position from September 2015 to April 2016 in our hospital were selected. The results showed that 16 cases of rheumatoid arthritis, 11 cases of osteoarthritis, 4 cases of frozen shoulder. There were 3 cases of Hill-Sachs defect and 16 cases of osteoporosis in 5 cases of bursitis with Bankart injury and 62 cases with no obvious abnormality. The positive images of internal rotation can be used to prove the Hill-Sachs disease in the posterior lateral part of the humerus head, which is proved by habitual dislocation of shoulder joint. The external rotation can show the shape of humerus head well and has clinical significance for the diagnosis of great tubercle fracture and calcinosis of supraspinatus tendon. The middle position shows fractures and / or dislocations in the proximal humerus and the upper limb, as well as calcium deposits in muscle, tendon, or articular capsule structures. The pathological changes such as osteoporosis and arthritis are well displayed. Conclusion according to the position of the shoulder, we can obtain high quality image of shoulder joint. It is helpful for doctors to complete definite diagnosis and accurate treatment.
【作者單位】： 天津市泰達(dá)醫(yī)院;
【分類號】：R816.8;R684
【正文快照】： 在日常工作中,我們把因肩關(guān)節(jié)疼痛而來就診的患者分為非外傷和外傷兩大類,外傷患者往往就診時情況比較緊急,需要技師快速處理。非外傷患者病情比較緩和,而且情況比較復(fù)雜。例如,非外傷患者大部分為中老年患者,癥狀多為肩周疼痛,肩峰下間隙壓痛,肩外側(cè)疼痛,肩外展或做肩從外旋

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本文編號：1362335