膝关节外伤低场磁共振检查临床价值.docVIP

膝关节外伤低场磁共振检查临床价值 　　[摘要] 目的 探讨膝关节外伤的低场磁共振成像(MRI)表现,以评价膝关节外伤的MRI检查的临床价值。方法 回顾性分析我院2003年8月～2009年5月经关节镜、手术证实的63例膝关节外伤患者的MRI资料。结果 经MRI证实,63例膝关节外伤患者中半月板损伤38例,与关节镜及手术对比,MRI的诊断准确符合率为94.7%(36/38),并根据Mink和Fischer提出的半月板损伤的MRI信号分级不同,MRI的表现不同。韧带损伤45例,与关节镜及手术对比,MRI的诊断准确符合率为91.1%(41/45)。韧带损伤MRI表现主要为韧带纤维部分纵行撕裂,韧带局部不同程度增生,边缘模糊,出现不同程度纵形高信号。结论 MRI可以清晰显示膝关节损伤部位及程度,是膝关节外伤后较理想的一种非创伤性检查方法。 　　[关键词] 膝关节; 外伤; 低场; 磁共振诊断 　　[中图分类号] R681.8 [文献标识码] A [文章编号] 1673-9701(2010)13-74-02 　　 　　Clinical Value of Low Field Magnetic Resonance Imaging for Knee Injury 　　REN Yong WU Jun 　　Department of Radiology,Shanxi Province Fenyang Hospital,Fenyang 032200,China 　　 　　[Abstract] ObjectiveTo investigate low field magnetic resonance imaging(MRI)features and its clinical value in the diagnosis of knee joint injuries. MethodsA retrospective analysis was made of the MRI data of 63 cases of knee trauma confirmed by menstrual arthroscopic surgery in our hospital from Aug.2003 to May 2009. ResultsMRI showed 38 of 63 cases were the knee meniscus injury,and the diagnostic accuracy rate of MRI was 94.7%(36/38),compared with arthroscopy and surgery,and in accordance with different MRI signal classification of meniscal injury made by Mink and Fischer,MRI features were also different. 45 cases were of ligament injury,and the diagnostic accuracy rate of MRI was 91.1%(41/45),compared with arthroscopy and surgery. The main MRI features of ligament injury were the longitudinal tear of ligament fiber part,the ligament local proliferation and edge blur,with different degrees of high signal. ConclusionMRI can clearly show the location and extent of knee injury,so that it is a good non-invasive examination method for knee injury. 　　[Key words]Knee joint; Trauma; Low field; MRI 　　 　　膝关节外伤的发生几率较大,传统的X线、CT或超声检查很难准确地诊断及治疗。低场MRI磁共振成像(Magnetic Resonance Imaging,MRI)分辨率高,能较好地表现膝关节半月板、韧带及其周围软组织损伤的改变,对膝关节损伤诊断的敏感性和特异性较高,目前在临床中已被广泛应用[1]。有文献报道,低场强MRI比高场强MRI具有相等或更好的特异性和敏感性。本文回顾性分析我院2003年8月～2009年5月的经关节镜或手术证实的63例膝关节外伤患者的MRI资料,并报道如下