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膝关节充气CT扫描影像学与临床意义的研究

The Study of Image and Clinical Significance of the Pneumoarthrography of Knee with CT

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【作者】 蒋曰生沈炳华初亚东车燕李文乐刘忠光张保正

【Author】 Jiang Yuesheng, Shen Binghua, Li Wenle, et al. Department of orthopaedics, Yan Tai Shan hospital of Yantai city, Shandong province, 264001

【机构】 山东烟台市烟台山医院骨科!264001山东烟台市烟台山医院医学影像科

【摘要】 作者通过尸体膝关节标本和56例经一般检查长期诊断不明的膝关节痛病人的112个膝关节(健侧45,患侧67)充气4kPa CT扫描,对尸体标本扫描后解剖,对病人有手术指征关节中的56个关节手术探查,然后与CT对照,初步确定了膝关节充气条件下的正常CT解剖和某些异常影像的临床意义。证明膝关节充气CT扫描能使一般X线和CT扫描不易发现的某些病变获得可靠的影像诊断依据,特别对滑膜皱襞综合征、滑膜肿瘤、滑膜炎等许多滑膜疾病具有重要诊断价值。56个关节手术证实其诊断符合率91%。

【Abstract】 A knee of cadaver and 112 knees (45 were healthy and 67 were sick) in 56 patients were studied with pneu-moarthrography with CT. The patients had a gonalgia and an acatalepsy commonly examined for a long time. After the scanning, the specimen was anatomied and 56 knees which had the indication for operation were operated on. By means of the comparison with CT, the clinical meaning of normal and some abnormal images were clarified. It has certified that the pneumoarthrography with CT can get the reliable image ground for some diseases which cannot be found out by common X - ray and CT, such as synovial plica syndrome, synovioma, synovitis and etc. The results of the operation in 56 knees have confirmed that the coincidental rate of diagnosis was 91 % .

【关键词】 膝关节病关节充气造影CT扫描
【Key words】 Knee diseasePneumoarthrographyCT
  • 【文献出处】 骨与关节损伤杂志 ,The Journal of Bone and Joint Injury , 编辑部邮箱 ,1997年05期
  • 【分类号】R816.8
  • 【被引频次】1
  • 【下载频次】29
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