膝关节炎的高频超声和X线检查比较  

The comparison between ultrasonography and X-ray for diagnosis of gonarthritis

作　　者：周佛养[1] 周忠良[1] 李飞[1] 程红亮[2] 江功远[1] 孙道东[1] 刘德春[1] 杨骏[1] 

机构地区：[1]安徽中医学院第二附属医院,合肥230061 [2]安徽中医学院

出　　处：《中国实用医药》2008年第7期3-4,共2页China Practical Medicine

基　　金：安徽省科技攻关项目(项目编号:皖科计字2007第35号)

摘　　要：目的分析高频超声诊断膝关节疾病的应用价值,探讨超声和X线检查在诊断膝关节炎方面的实际应用。方法将90例膝关节炎患者分别行超声和X线检查,对各自的诊断敏感性和特异性诊断指标进行统计学处理。结果超声对于滑膜增厚、关节腔积液、腘窝囊肿、半月板损伤等较敏感;X线对骨赘、关节间隙、骨质疏松显示良好。结论对于膝关节病变,超声与X线检查相结合,诊断更加全面。Objective In this paper, the service value of Ultrasonography for diagnosis of gonarthritis is analyzed, and the inspection of gonarthritis with Ultrasonography and X-ray is also discussed in practice. Methods 90 patients were assigned with gonarthritis to accept Ultrasonography and X-ray inspection respectively, and the sensitivity and specificity resulting were studyed from these two methods statistically. Results The outcome indicates that the Ultrasonography is more sensitive to the incrassation of the synovium,the hydrocele of the joint and the hydatoncus of the knee hollow,while the X-ray performs better in the exposure of osteophyma,the joint gap and osteoporosis. Conclusion Therefore,with the combination of the Ultrasonography and X-ray,the diagnosis of gonarthritis can be more comprehensively.

关 键 词：超声检查 膝 关节炎 类风湿 骨关节炎 

分 类 号：R445[医药卫生—影像医学与核医学]