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題 名 | Sonographic Signs of Complete Rotator Cuff Tears=肩旋轉軸完全斷裂之超音波徵象 |
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作 者 | 邱宏仁; 周宜宏; 許重權; 刁翠美; 詹益豐; 吳濬哲; 張政彥; | 書刊名 | 中華醫學雜誌 |
卷 期 | 58:6 1996.12[民85.12] |
頁 次 | 頁428-434 |
分類號 | 416.13 |
關鍵詞 | 慢性肩關節疼痛; 肩旋轉軸斷裂; 超音波; Chronic shoulder pain; Rotator cuff tear; Ultrasound; |
語 文 | 英文(English) |
中文摘要 | 背景 評估高解析度超音波於肩旋轉軸完全斷裂診斷之應用。 方法 總共157病例因慢性肩關節疼痛而接受肩超音波檢查,年齡分佈為30 到76歲,使用之超音波檢查儀器為Acuson 128 XP 1O及Diasonics VST master series。檢查姿勢包括肩外旋以便掃描肱二頭肌之長頭及肩胛之下肌腱,肩內旋 以便掃描脊上肌腱,手掌放到對側肩上以便掃描脊下肌腱及小圓肌腱,診斷肩 旋轉軸完全斷裂之超音波影像標準包括:1.完全偵測不到肩旋轉軸;2.肩旋轉軸 局部變薄;3.肩旋轉軸出現局部低回音裂縫;4.肩旋轉軸出現局部凹陷;5.肩旋 轉軸出現局部不均勻低回音區合併三角肌下滑囊積液,肩超音波檢查後當日實 施肩關節攝影當作診斷依據。 結果 超音波診斷肩旋轉軸完全斷裂者為49例,其中46例證實為肩旋轉軸完 全斷裂,亦即有3例假陽性,超音波診斷為正常肩旋轉軸者108例,肩關節攝 影證實其中104例為正常肩旋轉軸,4例為肩旋轉軸完全斷裂,因此其敏感性、 特異性、正預期值、負預期值、及準確性分別為92%,97.2%,93.9%,96.3%, 及95.5%。 結論 高解析度超音波可直接展示肩旋轉軸之解剖形態上之變化,而且對於肩 旋轉軸完全斷裂之診斷具高敏感性及高特異性,因此它應列為慢性肩關節疼痛 病人之第一線篩檢工具。 |
英文摘要 | Background. To evaluate the usefulness of high resolution ultrasound (HRUS) in the examination of complete rotator cuff tear (RCT). Methods. A prospective study of 157 patients with sonographic examination of shoulder was performed. All of them complained of chronic shoulder pain and were referred by clinician for suspicion of RCT. Their age ranged from 30 to 76 years. The ultrasonic scanners we used were Acuson 128 XP 10 with 7MHz linear transducer, or Diasonics VST master series using 10MHz linear transducer. Examination positions included external rotation of shoulder for scanning biceps tendon and subscapularis tendon, and internal rotation for supraspinatus tendon and lateral scan of infraspinatus tendon and teres minor tendon. Sonographic criteria of complete RCT included 1. complete absence of rotator cuff (RC); 2. focal thinning of RC; 3. focal hypoechoic cleft of RC; 4. focal depression of RC; and 5. heterogeneous hypoechoic RC with subdeltoid bursa fluid. Arthrography was performed after sonography examination on the same day. Results. Among 49 complete RCTs diagnosed by sonography, 46 were proved to be complete RCT by arthrography; only 3 were false positive. In 108 patients with normal rotator cuff diagnosed by sonography, 104 had compatible results with arthrography; only 4 patients turned out to be complete RCT. The sensitivity, specificity, positive predictive values, negative predictive values and accuracy were 92%, 97.2%,93.9%, 96.3% and 95.5%, respectively. Conclusions. HRUS can directly demonstrate the morphological changes of RC. It has a high sensitivity and specificity in the diagnosis of complete RCT, and can be used as a firstline screening modality for complete RCT in patients with chronic shoulder pain. |
本系統中英文摘要資訊取自各篇刊載內容。