MRI诊断55例膝关节损伤临床分析.docVIP

MRI诊断55例膝关节损伤临床分析 　　[摘要] 目的 探究临床中应用MRI诊断膝关节损伤的价值。 方法 该研究整群选取该院于2014年3月―2015年4月接诊的55例膝关节患者作为研究对象，对其诊断资料采取回顾性分析法，探究MRI诊断膝关节损伤的临床价值。 结果 MRI诊断半月板损伤的特异性为63.6%，敏感性为72.7%，准确性为92.7%；MRI诊断骨损伤的特异性为90.9%，敏感性为36.4%，准确性为76.4%；MRI诊断韧带损伤的特异性为45.5%，敏感性为76.4%，准确性为63.6%。 结论 采取MRI诊断膝关节损伤不仅方便、安全，并且具有经济性与准确性，值得在临床中推广与使用。 　　[关键词] MRI；膝关节损伤；临床分析；韧带损伤；骨损伤 　　[中图分类号] R684 [文献标识码] A [文章编号] 1674-0742（2016）02（a）-0183-02 　　Clinical Analysis of MRI in Diagnosis of 55 Cases with Knee Joint Injury 　　HU Qiao-jun1， YUAN De-qing2 　　1.Radiology Department， Chengdu third peoples Hospital，Chengdu，Sichuan Province，610000 China；2.Physical Examination Department， Nuclear industry four one six hospital，Chengdu，Sichuan Province，610000 China 　　[Abstract] Objective To discuss the value of the application of MRI in diagnosis of 55 cases with knee joint injury in clinic. Methods 55 cases of patients with knee joint injury treated in our hospital from March 2014 to April 2015 were selected as the research object and their diagnostic data were retrospectively analyzed， the clinical value of MRI in diagnosis of knee joint injury was discussed. Results The specificity， sensitivity and accuracy of MRI in diagnosis of meniscus injury were respectively 63.6%， 72.7% and 92.7%， the specificity， sensitivity and accuracy of MRI in diagnosis of bone injury were respectively 90.9%， 36.4% and 76.4%， the specificity， sensitivity and accuracy of MRI in diagnosis of ligament injury were respectively 45.5%， 76.4% and 63.6%. Conclusion Adopting MRI in diagnosis of 55 cases with knee joint injury is not only convenient and safe， but also economical and accurate， which is worthy of promotion and application in clinic. 　　[Key words] MRI； Knee joint injury； Clinical analysis； Ligament injury； Bone injury 　　伴随着我国交通事业的不断发展，膝关节损伤人数逐年增多，并成为临床中比较常见的病症，如果缺乏对膝关节的关注与重视，则会影响患者膝关节正常的功能，出现骨性关节炎等疾病。MRI作为一种非损伤性影响诊断新技术，不仅能够形成全方位、多层次的参数成像，并且图像清晰，软组织的对比度比较高，在膝关节损伤诊断中起到重要的指导作用[1]。该研究回顾性分析该院2014年3月―2015年4月接诊的55例膝关节损伤患者的MRI诊断表现，现报道如下。 　　1 资料与方