MRI用于诊断膝关节损伤效果评价.docVIP

MRI用于诊断膝关节损伤效果评价 　　【摘要】目的 研究核磁共振成像（MRI）用于诊断膝关节损伤的效果。方法 回顾性分析2014年1月～2016年1月入住我院进行MRI诊断的膝关节损伤患者37例的临床资料，探讨膝关节损伤患者MRI特点。结果 37例患者，MRI共显示病灶78个，其中，合并软骨损伤并关节面下骨挫伤、韧带损伤以及半月板损伤的病灶分别有21个、32个和25个，其中，合并软骨损伤并关节面下骨挫伤的患者MRI在软骨层内出现短T1信号、长T2信号及关节面下骨质片状边界模糊的长T1稍长T2信号，抑脂序列呈高信号；合并韧带损伤的患者韧带边缘毛糙模糊，韧带内信号不均MRI T1W1呈现低信号或者高低相混合的信号，而T2W1则呈现条线状或斑片状高信号，断裂者韧带连续性中断，变形挛缩；合并半月板损伤的患者MRI呈现为在低信号的三角形区域内出现条线状高信号影，撕裂者达关节面缘，或低信号的三角形半月板截断、移位变形（桶柄样撕裂）。结论 不同膝关节损伤患者MRI信号呈现不同的特点，可以依此对具体病症进行诊断，对膝关节损伤具有重要的诊断价值。 　　【关键词】磁共振成像；膝关节；损伤；效果 　　【中图分类号】R445.2；R684 【文献标识码】A 【文章编号】ISSN.2095-6681.2016.15.00.02 　　【Abstract】 Objective To investigate the MRI diagnosis of bone contusion on the knee，and improve the diagnosis skill. Methods The clinical data of 37 patients with knee joint injury who were admitted to our hospital from January 2014 to January 2016 were retrospectively analyzed， and the characteristics of MRI in patients with knee joint injury were analyzed.Results In 37 patients， MRI showed 78 lesions， which， combined with articular cartilage damage and bone contusion， ligament injury and meniscus lesions were 21， 32 and 25， among them， bone contusion patients under MRI with cartilage injury and articular surface in the cartilage layer appeared in the short T1 signal， long T2 signal and the articular surface of bone under fuzzy boundary flake T1 long and slightly long T2 signal， fat suppression sequences showed high signal； patients with ligament injury of the ligament of rough edge blur， uneven signal MRI T1W1 ligament showed low signal or high signal phase， and T2W1 showed a linear or patchy high signal fracture， discontinuous ligament contracture， deformation； meniscus injury in patients with MRI showed a linear high signal appeared in the triangle area of low signal， tearing up the articular surface of the edge， or low signal three Angular meniscus truncation and displacement deformation （bucket handle tear）.Conclusion Different patients with injury of knee joint MRI signal present different characteristi