核磁共振在膝骨性关节炎诊断中的应用价值探讨分析 .pdf

骨联节海绷中的邮你寸分析

【摘要】目的：分析膝骨性关节炎(KneeOsteoarthritis,KOA)诊断中应用核磁共振(Nuclearmagneticresonance

imaging,MRI)的价值。方法：从20225月—20235月的疑似KOA患者中随机抽取75例，均进行MRI和关节

镜检查，对比两种检查方式的效果。结果：①病理诊断：阳性2例，阴性13例；MRI：阳性59例，阴性1例；关节

镜：阳性45例，阴性30例。MRI敏感度、特异度及准确度分别为95.1%92.31%及94.7%,高于关节镜的72.58%、

53.85%及9.33%(Pv0.05)。②MRI诊断疾病类型符合率高于关节镜(Pv0.05)。结论：KOA诊断中应用MRI具有

较高的诊断效能，能提高诊断疾病类型的准确度。

【关键词】核磁共振；膝骨性关节炎；诊断效能；诊断疾病类型符合率

Todiscussandanalyzetheapplicationvalueofnuclearmagneticresonanceinthediagnosisofknee

osteoarthritis

LIURui

QinzhouDistrictPeoplesHospital,TianshuiCity,Gansu,Tianshui,Gansu741000,China

［Abstract］Objective：ToanalyzethevalueofNuclearmagneticresonanceimaging(MRI)inthediagnosis

ofKneeOsteoarthritis(KOA).Methods：75patientswithsuspectedKOAfromMay2022toMay2023wererandomly

selectedandunderwentMRIandarthroscopyexaminations,andtheeffectivenessofthetwoexaminationmethods

werecompared.Results：©Pathologicaldiagnosis：2caseswerepositiveand13caseswerenegative；MRI：59cases

werepositiveand1caseswerenegative；Arthroscopy：45caseswerepositiveand30caseswerenegative.The

sensitivity,specificityandaccuracyofMRIwere95.1%,92.31%and94.7%,respectively,higherthan72.58%,

53.85%and9.33%ofarthroscopy(P0.05).②ThecoincidencerateofMRIdiagnosisofdiseasetypeswashigher

thanthatofarthroscopy(P0.05).Conclusion：TheapplicationofMRIinthediagnosisofKOAhashighdiagnostic

efficiencyandcanimprovetheaccuracyofthediagnosisofdiseasetypes.

［KeyWords］Nuclearmagneticresonance；Kneeosteoarthritis；Diagnosticeffectiveness；Diagnosisof

diseasetypescoincidencerate

中老人是膝骨性关节炎(KOA)患者的主要群体,相关数据显示，约50%5岁、80%75岁的老人罹患KOA,

主要原因是老患者身体各项机能都随着龄增长而进行性退化，机体自身免疫能力、骨密度、骨质量均呈下降状态，

从而导致KOA风险更高［1］。目前，临床尚