MRI对急性膝关节软骨损伤的评价  

MRI evaluation of acute articular cartilage injury of knee

作　　者：张军[1] 吴振华[1] 范国光[1] 潘诗农[1] 郭启勇[1] 

机构地区：[1]中国医科大学附属第二医院放射科,沈阳110001

出　　处：《中华放射学杂志》2003年第11期979-984,共6页Chinese Journal of Radiology

摘　　要：目的　分析急性膝关节软骨损伤的MRI表现 ,以达到准确评价关节软骨损伤的范围及程度。方法　分析 34例在 15d内有膝关节损伤病史 ,且经关节镜和手术证实为关节软骨损伤患者的膝关节MRI所见 ,着重观察关节软骨和软骨下骨的改变 ,并与关节镜和手术结果对照分析。结果34例急性损伤膝关节中有 2 9例在MRI上表现异常 ,其中软骨信号异常改变 4例 ,软骨局限性变薄3例 ,骨软骨压迹 3例 ,软骨凹凸不平 (皱褶 ) 3例 ,软骨连续性中断 13例 ,软骨缺损 2例 ,软骨缺损伴关节内游离软骨体 1例。MRI还发现关节镜无法观察到的骨挫伤、隐匿性骨折等改变。结论　MRI对急性关节软骨损伤的显示准确 ,MRI结合关节镜检查可准确评价急性膝关节损伤的范围、程度 。Objective To study the MRI manifestation of acute articular cartilage injury of knee for evaluating the extension and degree of the injury and guiding treatment. Methods MRI of 34 patients with acute articular cartilage injury of knee within one day to fifteen days confirmed by arthroscopy and arthrotomy was reviewed and analyzed, with emphasis on articular cartilage and subchondral lesion. And every manifestation on MRI and that of arthroscopy and operation was compared. Results The articular cartilage injury was diagnosed on MRI in 29 of 34 cases. Cartilage signal changes were found only in 4. The changes of cartilage shape were variable. Thinning of focal cartilage was showed in 3, osteochondral impaction in 3, creases of cartilage in 3, disrupted cartilage with fissuring in 13, cracks cartilage in 2, and cracks cartilage with displaced fragment in 1. Bone bruise and occult fracture were found only on MRI. Conclusion The assessment of MRI and arthroscopy in acute articular cartilage injury are consistent. Combined with arthroscopy, MRI can succeed in assessing the extension and degree of acute articular injury and allowing treatment planning.

关 键 词：MRI 膝关节软骨损伤 急性 关节镜 软骨缺损 改变 观察 中断 显示 异常 

分 类 号：R445.2[医药卫生—影像医学与核医学]