膝关节半月板损伤MRI与关节镜检查结果比较.docVIP

精品论文 参考文献 膝关节半月板损伤MRI与关节镜检查结果比较 湖南省会同县人民医院 湖南怀化 418300 【摘 要】　目的　比较研究膝关节半月板损伤的MRI与关节镜检查结果，分析其临床应用价值。方法　选取2014年1月1日到2015年12月30日期间我院收治的膝关节半月板损伤患者60例作为对象，所有患者均行MRI和关节镜检查，分别对其检查结果进行比较，并计算MRI诊断膝关节半月板损伤的灵敏度、特异性与准确率。结果　经关节镜检查可见60例膝关节半月板损伤患者中，共检出半月板损伤67个，检出率为91.78%；经MRI检查共检出半月板损伤65个，检出率为89.04%，两种方法检出率的比较无统计学差异（P＞0.05）。以关节镜检查结果为依据，MRI诊断的灵敏度、特异性、准确性分别为97.01%、83.33%、95.89%。结论　MRI诊断膝关节半月板损伤的效果与关节镜相当，且检查无创、灵敏度好、特异性强、准确度高，值得临床推广应用。 【关键词】膝关节半月板损伤；MRI；关节镜；临床意义 [Abstract] Objective To study the clinical application value of MRI and arthroscopy in the diagnosis of meniscus injury of the knee joint. Methods Select our hospital patients with knee meniscus injury in 60 cases as the object from January 1, 2014 to February 31, 2015, all patients underwent MRI and arthroscopy, respectively of the examination results were compared and calculation of MRI in the diagnosis of knee joint meniscus injury of the sensitivity, specificity and accuracy. Results after arthroscopy visible in 60 cases of knee joint meniscus injury patients were detected in the meniscus injury 67 detection rate was 91.78%; by MRI were detected in meniscus injury 65, the detection rate was 89.04%. Two methods detection rate of no significant difference (P gt; 0.05). The sensitivity, specificity and accuracy of MRI diagnosis were 97.01%, 83.33% and 95.89%, respectively, based on the results of arthroscopy. Conclusion the results of MRI diagnosis of meniscus injury of the knee joint with arthroscopy, and the examination of noninvasive, good sensitivity, specificity, high accuracy, it is worth clinical application. [Key words] knee meniscus injury; MRI; Arthroscopy; clinical significance 膝关节损伤在外科临床十分常见，且多合并半月板损伤、韧带损伤、关节软骨损伤、肌??损伤、骨挫伤等一系列损伤，半月板损伤是比较严重的一种，多因运动损伤引起，可对关节功能造成影响。对其进行早期诊断及损伤评估意义十分重大。常规的X线平片检查或者多层螺旋CT扫描只能判断骨折相关情况，但无法对合并损伤进行有效探查。关节镜作为诊断准确性最高的膝关节半月板损伤的检查手段，检查有创，应用具有一定局限性。而核磁共振成像技术的出现具有无创、软组织分辨率高的优点[1]，能为治疗提供直观准确、详细客观的依据。本文就2014年1月1日到2015年12月30日期间我院收治的膝关节半月板损伤患者60例作为对象，比较研究膝关节半月板损伤的MRI与