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磁共振间接膝关节造影诊断膝关节损伤的价值

Diagnosis Value of Magnetic Resonance Imaging Indirect Arthrography in Detecting Meniscus and Ligament Injury of Knee Joint

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【作者】 顾军王旭华盛永华

【Author】 GU Jun WANG Xuhua SHENG Yonghua Department of Radiology,Department of Orthopedics,Changzhou Municipal Hospital of Traditional Chinese Medicine,Changzhou 213003,China

【机构】 江苏省常州市中医医院放射科江苏省常州市中医医院骨科

【摘要】 目的:评价磁共振间接关节造影诊断膝关节损伤的价值。方法:应用磁共振间接膝关节造影对31例膝关节损伤患者进行检查,并与关节镜或手术的诊断结果作比较。结果:磁共振间接膝关节造影诊断半月板损伤的敏感度为92.86%、特异度为98.73%;诊断前交叉韧带损伤的敏感度为100%、特异度为96%;诊断后交叉韧带损伤的敏感度为100%、特异度为100%;诊断侧副韧带损伤的敏感度为100%、特异度为96.08%。上述各项指标较平扫高,标志诊断可靠性的Kappa值两者无显著差异。结论:磁共振间接关节造影在膝关节损伤的诊断中有一定价值,可以作为平扫的补充检查手段。

【Abstract】 Objective:To evaluate the value of magnetic resonance imaging(MRI) indirect arthrogaraphy in detecting meniscus and ligament injury.Methods: Thirty-one patients with knee injury were evaluated with the MRI inditect arthrography.These results were compared with subsequent arthroscophy or operative detections.Results: In diagnosis of meniscus injury,the sensitivity and specificity were 92.86% and 98.73%,respectively.In diagnosis of anterior cruciate ligament injury,the sensitivity and specificity were 100% and 96%,respectively.In diagnosis of posterior cruciate ligament injury,the sensitivity and specificity were 100% and 100%,respectively.In diagnosis of collateral ligament,the sensitivity and specificity were 100% and 96.08%,respectively.Conclusions: MR indirect arthrogaraphy is value in deteching meniscus and ligament injury.

【关键词】 膝关节损伤关节造影磁共振成像
【Key words】 KneeInjuryArthrographyMagnetic resonance imaging
  • 【文献出处】 中国临床医学 ,Chinese Journal of Clinical Medicine , 编辑部邮箱 ,2010年04期
  • 【分类号】R445.2;R684
  • 【被引频次】15
  • 【下载频次】81
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