多序列优化MRI对膝关节骨性关节炎关节置换术前评估.doc

宁夏医科大学硕士学位论文 中文摘要 Multiple sequence optimization assessment before MRI for knee osteoarthritis joint replacement ABSTRACT Part1:The diagnosis value of 3.0 T MR in knee joint osteoarthritis classification Objectives (1)To study patients for X-ray and MRI with OA,by means of the classifywe can research OA patient’s cartilage injury at the inside of the room, outside room and patellofemoral articular in different periods, and provide the appropriate imaging examination method to the evaluation before the operation for severe patients. Methods (1)36 patients with OA between September 2013 to September 2013 in Ningxia Peoples Hospital who did X-ray and sequence optimization of MRI.And all patients were under Philips DR and GE3.0 T MRI machine had be choesd.We get X ray film positive side of the image and multiple sequence MRI image.And the images will be analysed by the GE ADW4.5 workstation.Finally we will using SPSS 17.5 software for statistical analysis of the research object. Results (1) inside and outside the knee joint of X-ray and MRI classification results show that the lateral difference between joints and the inside of the joint have the statistical significance（P0.05）and significant statistically significant（P0.01）(2) Inside and outside knee OA patients and patellofemoral joint X-ray and MRI have significant statistical significance difference (P 0.01) (3) Two kinds of classification method of OA in patients with medial joint are consistent with moderate（0.40＜κ≤0.60）; Poor uniformity of the lateral joint and patellar joint two grading method（κ≤0.40） Conclusion(1)X-rayregards highly as a classification diagnosis for severe patients.For o perating TKA surgery,we can make a preoperative assessment by means of X-ray inspection a nd clinical situations for the double disease osteoarthritis patient who want to save cost of trea Ⅲ 万方数据 宁夏医科大学硕士学位论文 中文摘要 tment. (2)In the clinical,we always suggest further lines of MRI, when making a classification evaluation for OA p