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[1]王守立,周曉波,劉福存,等.國人肩峰指數(shù)與肩袖撕裂的關(guān)系研究…[J].中醫(yī)正骨,2017,29(12):31-33，42.
　WANG Shouli,ZHOU Xiaobo,LIU Fucun,et al.Study on the relationship between acromion index and rotator cuff tear in Chinese[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2017,29(12):31-33，42.
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國人肩峰指數(shù)與肩袖撕裂的關(guān)系研究…()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第29卷
期數(shù):
2017年12期
頁碼:
31-33，42
欄目:
臨床研究
出版日期:
2017-12-20

文章信息/Info

Title:
Study on the relationship between acromion index and rotator cuff tear in Chinese
作者:
王守立1; 周曉波1; 劉福存2; 張慶國1; 夏堅(jiān)峰1; 祝云利2
1.浙江省臺(tái)州醫(yī)院,浙江 臨海 317000; 2.上海交通大學(xué)醫(yī)學(xué)院附屬同仁醫(yī)院,上海 200050
Author(s):
WANG Shouli1; ZHOU Xiaobo1; LIU Fucun2; ZHANG Qingguo1; XIA Jianfeng1; ZHU Yunli2
1.Taizhou Hospital of Zhejiang Province,Linhai 317000,Zhejiang,China 2.Tong Ren Hospital Affiliated to Medical College of Shanghai Jiao Tong University,Shanghai 200050,China
關(guān)鍵詞:
肩關(guān)節(jié);  肩袖損傷;  肩峰指數(shù)
Keywords:
Key words shoulder joint;  rotator cuff injury;  acromion index
摘要:
目的:探討國人肩峰指數(shù)(acromion index,AI)與肩袖撕裂的關(guān)系。方法:收集130例確診為肩袖全層撕裂患者(肩袖撕裂組)和70例肩袖完整者(肩袖完整組)的病例資料。在肩關(guān)節(jié)正位X線片上測(cè)定研究對(duì)象的AI,并根據(jù)肩袖撕裂的程度將肩袖撕裂分為小型、中型、大型和巨大型,分析AI與肩袖撕裂的關(guān)系。結(jié)果:肩袖撕裂組AI高于肩袖完整組(0.73±0.06,0.67±0.07,t=6.524,P=0.000)。在130例肩袖撕裂患者中,小型肩袖撕裂15例、中型肩袖撕裂63例、大型肩袖撕裂38例、巨大型肩袖撕裂14例; 4種類型肩袖撕裂患者的AI比較,差異無統(tǒng)計(jì)學(xué)意義(0.73±0.07,0.73±0.06,0.73±0.06,0.75±0.08,F=0.529,P=0.663); 肩袖撕裂程度與AI之間不存在直線相關(guān)關(guān)系(r=0.067,P=0.451)。經(jīng)受試者工作特征曲線分析,采用AI診斷肩袖撕裂的準(zhǔn)確性中等(Az=0.75,P=0.000); 最佳診斷分界點(diǎn)為0.70,對(duì)應(yīng)的靈敏度和特異度分別為0.70和0.67。結(jié)論:在國內(nèi)人群中可以應(yīng)用AI診斷肩袖撕裂,AI診斷肩袖撕裂的最佳診斷分界點(diǎn)為0.70; 肩袖損傷的程度與AI不存在直線相關(guān)關(guān)系。
Abstract:
ABSTRACT Objective:To explore the relationship between acromion index(AI)and rotator cuff tear in Chinese.Methods:The medical records of 130 patients with full-thickness rotator cuff tears(rotator cuff tear group)and 70 patients with intact rotator cuff(rotator cuff integrity group)were collected.The AI of patients were measured on anteroposterior X-ray films of shoulder joint.The rotator cuff tears were divided into small-,medium-,large- and huge-sized type according to the degree of rotator cuff tear,and the relationship between AI and rotator cuff tear were analyzed.Results:The AI was higher in rotator cuff tear group compared to rotator cuff integrity group(0.73+/-0.06 vs 0.67+/-0.07,t=6.524,P=0.000).The rotator cuff tear of the 130 patients included small-sized(15),medium-sized(63),large-sized(38)and huge-sized(14)rotator cuff tears.There was no statistical difference in AI between the 4 groups of rotator cuff tears(0.73+/-0.07,0.73+/-0.06,0.73+/-0.06,0.75+/-0.08,F=0.529,P=0.663).There was no linear correlation between the degree of rotator cuff tear and AI(r=0.067,P=0.451).The result of receiver operator characteristic curve(ROC)analysis showed that AI had moderate accuracy of measurement in diagnosing rotator cuff tear(Az=0.75,P=0.000),and the optimum diagnostic cutoff point was 0.70,and the corresponding sensitivity and specificity were 0.70 and 0.67 respectively.Conclusion:AI can be used for diagnosing rotator cuff tear in Chinese,and the optimum diagnostic cutoff point of AI was 0.70.There is no linear correlation between the degree of rotator cuff injury and AI.

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備注/Memo

備注/Memo:
基金項(xiàng)目:中國博士后科學(xué)基金特別資助項(xiàng)目(2015T80637); 中國博士后科學(xué)基金面上項(xiàng)目(2014M561793) 通訊作者:祝云利 E-mail:[email protected]
更新日期/Last Update: 2018-05-02