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目的评价肩关节MRI在肱二头肌腱长头腱近端疾病与损伤中的诊断价值。方法自2012-10—2015-06经MRI检查的32例肱二头肌腱长头腱近端疾病与损伤的影像学资料,探讨肩关节MRI对肱二头肌腱长头腱近端疾病与损伤的诊断价值。结果本组肱二头肌腱长头腱肌腱炎12例,肌腱部分撕裂3例,肌腱全部撕裂8例,肌腱脱位5例,SLAP损伤4例。其中肌腱脱位及顽固性肌腱炎7例进行手术治疗,4例行肌腱固定术,3例行肌腱切断术,手术前后诊断符合率100%。25例行物理治疗、激素注射等非手术治疗。结论肩关节MRI是诊断肱二头肌腱长头腱近端疾病与损伤较有效的检查方法,可以为骨外科医师制定正确的治疗方案提供可靠的依据。
Objective To evaluate the diagnostic value of shoulder MRI in the disease and injury of the proximal tendon of the biceps tendon. Methods From March 2012 to May 2015, MRI findings of 32 cases of proximal biceps tendon tendon disease were studied by MRI. The effects of shoulder-joint MRI on the disease and injury of the proximal tendon of biceps tendon Diagnostic value. Results Twelve cases of tendonitis of biceps tendon, three cases of tendon partial tear, eight cases of tendon tear, five cases of tendon dislocation and four cases of SLAP injury. Among them, 7 cases of tendon dislocation and refractory tendonitis were treated by surgery, 4 cases of tendon fixation and 3 cases of tendonotomy. The coincidence rate was 100% before and after the operation. 25 routine physical therapy, hormone injection and other non-surgical treatment. Conclusion Shoulder joint MRI is an effective method to diagnose the disease and injury of the proximal tendon of the biceps tendon. It can provide a reliable basis for the orthopedic surgeons to formulate the correct treatment plan.