不同检查方法对半月板损伤诊断价值的评价  

Value of different examination methods for evaluation the diagnosis of the meniscal tears of knee joint

作　　者：王文广[1] 轩爱军[2] 杨志永[2] 陈为国[3] 胡颖杰[1] 张长庚[1] 

机构地区：[1]河北省唐山市玉田县医院磁共振室,河北唐山064100 [2]河北省唐山市玉田县医院B超室,河北唐山064100 [3]河北省唐山市玉田县医院骨一科,河北唐山064100

出　　处：《医学影像学杂志》2008年第11期1311-1313,共3页Journal of Medical Imaging

摘　　要：目的:评价不同检查方法对半月板损伤的诊断价值。方法:选取我院怀疑半月板损伤而全部经过物理检查、B超、MRI平扫、MRI直接法膝关节造影四项方法检查的30例膝关节镜诊断结果进行分析。结果:物理检查、B超、MRI平扫、MRI直接法膝关节造影对半月板损伤的诊断准确率分别为:60%、73%、83%、96.7%;敏感性分别为:70%、83%、96.7%、96.7%;特异性分别为:29%、29%、60%、100%。结论:物理检查是进行其他检查的基础,对于B超、MRI平扫不能明确诊断的病例,MRI直接法膝关节造影是非常有效的进一步检查手段。Objective： To evaluate different examination methods for the diagnosis of the meniscal tears. Methods： Selecting 30 cases with suspected meniscal tears of knee joint and the results of knee joint scope that all use four examination methods by physical examination, B-mode ultrasonography, conventional MRI and indirect MRI arthrography. Results：The accuraly to the meniscal tears of knee joint by physical examination, B-mode uhrasonography, conventional MRI and indirect MRI arthrography as： 60%, 73%, 83%, 96.7%; the sensitivity： 70%, 83%, 96.7%, 96.7%;and the specificity： 29%, 29%, 60%, 100%. Conclusion：Physical examination is foundation of other examination methods, the case couldn＇ t clear diagnosis by B-mode uhrasonography, conventional MRI is a very good and effective means of further inspections by indirect MRI arthrography.

关 键 词：半月板损伤 磁共振检查 

分 类 号：R681[医药卫生—骨科学] R445.2[医药卫生—外科学]