高频超声对膝关节半月板急慢性损伤的诊断价值分析  

Analysis of the Diagnostic Value of High Frequency Ultrasound in Acute and Chronic Injuries of Knee Joint Meniscus

作　　者：陈芗茹 张欣[1] 孟庆鑫[1] 李欣欣[2] 杨雪娇 孙平[4] Chen Xiangru;Zhang Xin;Meng Qingxin;Li Xinxin;Yang Xuejiao;Sun Ping(Ultrasonic Department of Tile Second Affiliated Hospital of Mudanjiang Medical University,Mudanjiang City,Heilongjiang 157000,China;Class 6,Grade 2014,Anesthesia Department ,Mudanjlang Medical University,Mudanjiang City,Heilongjiang 157011,China;Class 3,Grade 2014,Department of Clinical Medicine ,Mudanjlang Medical University,Mudanjiang City,Heilongjiang 157011,China;Department of Anatomy ,Mudanjlang Medical University,Mudanjiang City,Heilongjiang 157011,China)

机构地区：[1]牡丹江医学院第二附属医院超声科,黑龙江牡丹江157000 [2]牡丹江医学院麻醉系 [3]牡丹江医学院临床医学系 [4]牡丹江医学院解剖教研室,黑龙江牡丹江157011

出　　处：《中国烧伤创疡杂志》2019年第1期46-49,共4页The Chinese Journal of Burns Wounds & Surface Ulcers

基　　金：黑龙江省大学生创新创业训练项目(201710229005);黑龙江省卫生计生委科研课题(2017-317)~~

摘　　要：目的分析探讨高频超声对膝关节半月板急慢性损伤的诊断价值。方法选取2017年1月至2018年2月牡丹江医学院第二附属医院收治的50例膝关节半月板急慢性损伤患者(设为研究组)及50例健康体检者(设为对照组)作为研究对象,应用高频超声检测其膝关节滑膜厚度、髌上囊积液深度及滑膜血流状况,并予以对比。结果研究组患者膝关节半月板在基线外侧较为突出且可见点状或条状强回声区,内侧副韧带变形,部分患者伴有不同程度的水肿,滑膜厚度为(6.25±2.20) mm,髌上囊积液深度为(7.35±1.45) mm,滑膜血流为0级者23例、Ⅰ级者12例、Ⅱ级者12例、Ⅲ级者3例;对照组研究对象膝关节半月板回声强度中等且均匀,边缘清晰,滑膜厚度为(1. 10±0.46) mm,髌上囊积液深度为(2. 12±0.43) mm,滑膜血流为0级者38例、Ⅰ级者12例。两组研究对象膝关节滑膜厚度、髌上囊积液深度及滑膜血流状况对比,P均<0.01,差异具有统计学意义。结论高频超声对膝关节滑膜厚度、髌上囊积液及滑膜血流均较敏感,在膝关节半月板急慢性损伤的诊断中特异性较高,且操作简便,可作为膝关节半月板急慢性损伤的首选诊断方法予以推广、普及。Objective To analyze the diagnostic value of high frequency ultrasound in acute and chronic injuries of knee joint meniscus. Methods A total of admitted 50 patients with acute and chronic injuries of knee joint meniscus(study group) and 50 healthy persons(control group) underwent physical checkup in The Second Affiliated Hospital of Mudanjiang Medical University from January 2017 to February 2018,were chosen as subjects. High frequency ultrasound was used to detect the thickness of their knee joint synovium, the depth of effusion in their suprapatellar bursa and the blood flow condition of synovium, and the results were compared. Results In the study group, the knee joint meniscus protruded from the outside of its baseline, with intense dot or strip echo zones observable, the medial collateral ligament was deformed, and some patients suffered from edema of different degrees. The thickness of synovium was(6. 25 ±2. 20) mm,the depth of effusion in suprapatellar bursa was(7. 35 ± 1. 45) mm,and 23 cases showed grade 0 blood flow status of synovium,12 cases grade I, 12 cases grade II and 3 cases grade Ⅲ. In contrast, in the control group, the echo intensity of knee joint meniscus was moderate and uniform and the margins of meniscus were well defined. The thickness of knee joint synovium was(1. 10 ±0.46) mm, the depth of effusion in suprapatellar bursa was(2. 12 ±0.43) mm, and 38 cases showed grade 0 blood flow status of synovium and 12 cases grade I. The thickness of knee joint synovium, the depth of effusion in suprapatellar bursa and synovium blood flow condition were respectively compared between the two groups, which all showed statistically significant differences(P < 0. 01). Conclusion High frequency ultrasound is a very sensitive way of checking the thickness of knee joint synovium, effusion in suprapatellar bursa and synovium blood flow, with high specificity in the diagnosis of acute and chronic injuries of knee joint meniscus. This method is also easy to operate, it can be promoted as a preferred diagn

关 键 词：高频超声 膝关节 半月板损伤 滑膜厚度 髌上囊积液深度 诊断价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R684[医药卫生—诊断学]