膝关节损伤诊断中MRI检查的应用价值初步研究.docxVIP

膝关节损伤诊断中MRI检查的应用价值初步研究 （1甘肃省民乐县疾病预防控制中心 甘肃张掖734500） （2民乐县中医医院影像科 甘肃张掖734500） 【摘要】目的：探讨膝关节损伤诊断中MRI检查的应用价值。方法：抽取 2015年6月至2016年1月在我院就诊的92例采用MRI检查进行诊断的膝关节 损伤患者影像资料进行回顾性研究，分析MRI检查对膝关节损伤诊断的应用价 值。结果：92例患者中，韧带损伤106条（影像表现为条状低信号影增粗，边 缘模糊或为波浪形，T1W1为低混杂或高信号，T2W1为高信号）；半月板损伤123 个（影像表现为半月板呈三角形低信号，为线形、裂隙形、椭圆形和放射形等增 高的异常信号影）；骨质改变28例（影像表现为T1W1为低信号，T2W1为低混 杂或高信号，个别骨质边界不规则或呈现软骨断续、凹陷，软骨内T1信号短T2 信号长）;关节腔积液62例（影像表现为关节腔内条片状,T1和T2均为长信号）。 所有患者均经过关节镜、手术和临床检查证实为膝关节损伤。结论：MRI检查可 以准确诊断膝关节损伤，且不会对患者造成创伤，能够明确病变程度，诊断结果 与手术的符合率高，值得广泛应用于临床。 【关键词】膝关节损伤；MRI；应用价值 【中图分类号】R445 【文献标识码】A 【文章编号】1007-8231 （2016） 11-0068-02 Preliminary study on the application value of MRI examination in the diagnosis of kn ee joint in jury 【Abstract] Objective To explore the application value of MRI examination in the diagnosis of knee joint injury. Methods Selected June 2015 to 2016 January in our hospital for treatme nt of 92 cases by MRI for diagnosis of knee joint in jury in patients with imaging data were retrospectively studied, application value of MRI in diagnosis of knee joint injury. Results 92 patients, ligament injury 106 （image strip low signal in the thickening, edge blur or wave shape, tlwl lower hybrid or high signal, T2WI high sign al); men iscus in jury 123 (image showed meniscus presented tria ngle low signal is linear, slit shaped, oval and radiation shape in creased the abno rmal signal shadow); bone changes in 28 cases (imaging findings in tlwl low signal, T2WI is low or mixed high signal, in dividual bone boundary irregular or cartilage in termitte nt, sag, the cartilage of the T1 signal short T2 sign al le ngth);joi nt cavity effusi on 62 cases (imagi ng fin dings for joint cavity sube ntry flake, T1 and T2 are long sign al). All patie nts were con firmed by arthroscopy, surgery an d clin ical exami nation. Con clusio n MRI examination can accurately diagnose the knee injury, and will not cause trauma to the patient, to be able to clear the extent of the lesion, diagnosis and surgical compliance rate is