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Br J Sports Med：专家发现超声诊断肩袖撕裂伤更佳

2015-03-11 张振江 译 医学论坛网

肩袖撕裂伤超声建议
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纽约(路透社)——根据一个元分析团队的研究结论表明，超声(US)应优先于磁共振成像(MRI)及磁共振造影(MRA)来诊断全层肩袖撕裂伤。 作者Jean-Sébastien Roy说，“在表征全层肩袖撕裂伤中，三种成像系统(US，MRI和MRA)的诊断精确性是较高的，也是类似的。” “然而，当考虑成本和可用性时，超声波检查比较便宜，并且可在医疗点进行诊断。”他通过邮件告诉路透社健康部

纽约(路透社)——根据一个元分析团队的研究结论表明，超声(US)应优先于磁共振成像(MRI)及磁共振造影(MRA)来诊断全层肩袖撕裂伤。

作者Jean-Sébastien Roy说，“在表征全层肩袖撕裂伤中，三种成像系统(US，MRI和MRA)的诊断精确性是较高的，也是类似的。”

“然而，当考虑成本和可用性时，超声波检查比较便宜，并且可在医疗点进行诊断。”他通过邮件告诉路透社健康部。“因此，在考虑精确度、成本和可用性时，US在大多数设备中是最佳选择。”

该项研究发表在2月11日《英国运动医学杂志》上，包括三种成像技术的82个研究，这些都是围绕5300名疑似全部或部分肩袖撕裂伤患者的成像来研究的。

研究人员发现，这些技术的准确性是相似的，全层撕裂的灵敏度介于0.90和0.91之间，特异性介于0.93和0.95之间。尽管部分撕裂的灵敏度下降到0.67和0.8之间，但特异性仍保持较高水平。

Roy博士说，“在紧急临床诊断评估实验中，需要迅速进行手术或者保守治疗可能失败的情况下，这些成像系统应该用于诊断已被确定为患有全层肩袖撕裂伤的患者上。“

原始出处：

Roy JS1, Braën C2, Leblond J3, Desmeules F4, Dionne CE5, MacDermid JC6, Bureau NJ7, Frémont P5.Diagnostic accuracy of ultrasonography, MRI and MR arthrography in the characterisation of rotator cuff disorders: a meta-analysis.Br J Sports Med. 2015 Feb 11. pii: bjsports-2014-094148. doi: 10.1136/bjsports-2014-094148. [Epub ahead of print]

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    2015-08-22 Uping-AN

    拔出

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    2015-04-12 x35042875

    患OS这个疾病的高风险人群提供干预措施以避免不良预后和机械治疗措施

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    2015-03-13 tcm104hq

    #超声诊断#

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    2015-03-13 tcm104hq

    #超声诊断#

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    2015-03-13 ms3994565386320060

    #Med#

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