膝关节损伤诊断中核磁共振的应用价值探讨.docVIP

精品论文 参考文献 膝关节损伤诊断中核磁共振的应用价值探讨 隋愿 　　（商丘市第一人民医院核磁共振科， 河南 商丘 476100） 　　【摘要】目的：观察核磁共振（MRI）在膝关节损伤诊断中的应用效果。方法：以我院收治的60例膝关节损伤患者为研究对象，随机分为对照组与实验组，每组各30例。对照组行常规X线检查，实验组则采用核磁共振检查，就两组临床诊断结果施以对比。结果：通过采用不同方式进行诊断，实验组患者的诊断率为100.00%，显著高于对照组的80.00%，组间比较差异有统计学意义（P＜0.05）。结论：核磁共振用于膝关节损伤诊断中不仅无创，还能明确膝关节及相关组织的病理变化，对病情变化与病变程度做出准确判断，其诊断结果通常与术后病理检查结果相符，临床应用价值较高。 　　【关键词】核磁共振；膝关节损伤；诊断 　　To investigate the application value of MRI in diagnosis of knee joint injury in 　　Sui may (Shangqiu First Peoples Hospital NMR Department of Henan Shangqiu 476100) 　　[Abstract] Objective: To observe the effect of application of nuclear magnetic resonance(MRI) in the diagnosis of knee injury. Methods: in our hospital treated 60 cases of knee joint injury patients as the research object, randomly divided into control group and experimental group, 30 cases in each group. The control group received routine X-ray examination, the experimental group with MRI, two groups of clinical diagnosis results bycontrast. Results: the diagnosis by using different methods, the diagnosis of the patients in the experimental group the rate is 100%, significantly higher than 80% in the control group,there were statistically significant differences between groups (P lt; 0.05). Conclusion: MRIfor diagnosis of knee joint injury not only noninvasive, pathological changes of knee jointcan clear and relevant organizations, to make accurate judgments on the condition changes and the severity of the lesion, the diagnostic result is usually consistent with the postoperative pathological examination results, the higher the value of clinical application. 　　[keyword] nuclear magnetic resonance; knee injuries; diagnosis 　　在人体中，膝关节属于最大、最复杂的屈曲关节，其所受到的杠杆作用最强，因此亦容易因各种原因出现损伤[1]。膝关节损伤会给患者带来很大痛苦，严重影响患者的生活质量，因此早期诊断、治疗十分重要。目前临床上通常采用X线、CT对膝关节损伤进行诊断，X线、CT能对骨折及骨折类型进行准确判断，但对于骨挫伤、韧带、半月损伤及软骨、肌腱等损伤的检查效果不明显。核磁共振（MRI）则能弥补X线、CT检查的不足，对于软组织进行高度分辨，并清晰显示骨挫伤、韧带、半月损伤及软骨、肌腱等病理改变，具有视野大、多参数与多方位成像及无电离辐射等优点，近年来被广泛应用于骨、关节等创伤性疾病的诊断中[2]。本次研究就我院行核磁共振诊断的膝关节损伤患者的临床资料回顾性分析，具体分析结