膝骨关节炎超声检查与MRI在软骨病变中的对比研究  

Contrast study of knee joint′s cartilage lesions in ostearthritis with ultrasonographic and MRI

作　　者：唐以银[1] 李晓妍[2] 廖林[3] 

机构地区：[1]四川省大邑县人民医院超声诊断科,四川大邑611330 [2]四川省广元市中心医院超声科,四川广元628000 [3]四川省妇幼保健院超声诊断科,四川成都610000

出　　处：《吉林医学》2011年第7期1261-1263,共3页Jilin Medical Journal

摘　　要：目的:比较超声和MRI所获膝骨关节炎(OA)患者膝关节软骨厚度的临床价值和意义。方法:膝关节OA患者(100例)同时接受超声和MRI检查,并获取膝关节OA患者疾病临床分值(WOMAC评分)、病程、炎性指标C反应蛋白(CRP)、红细胞沉降率(ESR),并对上述指标做相关分析。结果:①超声示股骨内、外髁软骨厚度与病程成负相关(r=-0.546,P<0.05;r=-0.519,P<0.05);②MRI示OA患者的膝关节软骨面等级分级与WOMAC评分成正相关(rs=0.436,P<0.05);与病程成正相关(rs=0.393,P<0.05);③超声检查所示的内外髁软骨厚度和MRI软骨面等级分级成负相关(rs=-0.451,P<0.05)。结论:高频超声和MRI对膝关节软骨病变程度反应良好,且一致性好;超声由于价廉简便,可以作为辅助诊断膝骨关节炎软骨病变的手段,并在其预后判断和随访中有一定临床价值。Objective To contrast the clinic value of the cartilage thickness of knee joint of ostearthritis（OA） by ultrasound and MRI.Method OA group（100 cases） examined by high frequency ultrasound and MRI were evaluated.The correlations between cartilage thickness,the rank of MRI and CRP,ESR,pathogenesis,the score of WOMAC were also analyzed.Results ①The negative correlations were manifested between the cartilage thickness and the pathogenesis in OA group;②The positive correlation were found among the cartilage rank of MRI with the score of WOMAC and pathogenesis in OA group;③The negative correlations were manifested between the cartilage thickness by ultrasonographic and the cartilage rank of MRI.Conclusion Both ultrasonography and MRI are superiority examination,ultrasonography is valuable in detecting cartilage lesions,therapeutic evaluation and follow-up visit of OA.

关 键 词：高频超声 超声检查 核磁共振 膝骨关节炎 软骨 

分 类 号：R684.3[医药卫生—骨科学] R445.1[医药卫生—外科学] R445.2[医药卫生—临床医学]