膝关节损伤诊断中MRI检查的应用价值初步研究.docVIP

精品论文 参考文献 膝关节损伤诊断中MRI检查的应用价值初步研究 (1甘肃省民乐县疾病预防控制中心 甘肃张掖 734500) 　　(2民乐县中医医院影像科 甘肃张掖 734500) 　　【摘要】目的：探讨膝关节损伤诊断中MRI检查的应用价值。方法：抽取2015年6月至2016年1月在我院就诊的92例采用MRI检查进行诊断的膝关节损伤患者影像资料进行回顾性研究，分析MRI检查对膝关节损伤诊断的应用价值。结果：92例患者中，韧带损伤106条（影像表现为条状低信号影增粗，边缘模糊或为波浪形，T1W1为低混杂或高信号，T2W1为高信号）；半月板损伤123个（影像表现为半月板呈三角形低信号，为线形、裂隙形、椭圆形和放射形等增高的异常信号影）；骨质改变28例（影像表现为T1W1为低信号，T2W1为低混杂或高信号，个别骨质边界不规则或呈现软骨断续、凹陷，软骨内T1信号短T2信号长）；关节腔积液62例（影像表现为关节腔内条片状，T1和T2均为长信号）。所有患者均经过关节镜、手术和临床检查证实为膝关节损伤。结论：MRI检查可以准确诊断膝关节损伤，且不会对患者造成创伤，能够明确病变程度，诊断结果与手术的符合率高，值得广泛应用于临床。 　　【关键词】膝关节损伤；MRI；应用价值 　　【中图分类号】R445 【文献标识码】A 【文章编号】1007-8231（2016）11-0068-02 　　Preliminary study on the application value of MRI examination in the diagnosis of knee joint injury 　　【Abstract】Objective To explore the application value of MRI examination in the diagnosis of knee joint injury. Methods Selected June 2015 to 2016 January in our hospital for treatment of 92 cases by MRI for diagnosis of knee joint injury in patients with imaging data were retrospectively studied, application value of MRI in diagnosis of knee joint injury. Results 92 patients, ligament injury 106 (image strip low signal in the thickening, edge blur or wave shape, t1w1 lower hybrid or high signal, T2WI high signal); meniscus injury 123 (image showed meniscus presented triangle low signal is linear, slit shaped, oval and radiation shape increased the abnormal signal shadow); bone changes in 28 cases (imaging findings in t1w1 low signal, T2WI is low or mixed high signal, individual bone boundary irregular or cartilage intermittent, sag, the cartilage of the T1 signal short T2 signal length);joint cavity effusion 62 cases (imaging findings for joint cavity subentry flake, T1 and T2 are long signal). All patients were confirmed by arthroscopy, surgery and clinical examination. Conclusion MRI examination can accurately diagnose the knee injury, and will not cause trauma to the patient, to be able to clear the extent of the lesion, diagnosis and su