3.0T超导磁共振成像对老年膝关节退行性骨关节病的诊断研究  

Study on 3.0T Superconducting MR Imaging in the Diagnosis of Senile Degenerative Osteoarthrosis of Knee Joints

作　　者：王志利[1] 徐丹凤[2] 赵树军[1] 刘兵[1] 孟凡州[1] 

机构地区：[1]衡水市哈励逊国际和平医院核磁共振室,河北衡水053000 [2]衡水市哈励逊国际和平医院超声科,河北衡水053000

出　　处：《医学综述》2015年第8期1503-1505,共3页Medical Recapitulate

摘　　要：目的探讨3.0 T超导磁共振成像对老年膝关节退行性骨关节病的诊断价值。方法回顾性分析2012年6月至2013年4月衡水市哈励逊国际和平医院临床确诊的90例老年膝关节退行性骨关节病患者的磁共振影像表现。结果 90例患者均出现不同程度的关节软骨损伤(Ⅱ级36例,Ⅲ级54例),骨质增生改变及不等量的关节腔积液;关节软骨下骨质破坏68例;骨髓水肿34例;半月板退变及损伤72例(Ⅰ级15例,Ⅱ级44例,Ⅲ级13例);韧带损伤18例(交叉韧带10例,侧副韧带8例);关节腔游离体5例(软骨游离体2例,骨性游离体3例)。结论 3.0 T超导磁共振成像能清晰地显示老年膝关节退行性骨关节病患者的关节骨质、关节软骨、滑膜、韧带及半月板等结构,为临床准确诊断与评估损伤程度提供直接影像依据。Objective To study the diagnostic value of 3.0 T superconducting MR imaging in senile degenerative osteoarthrosis of knee joints.Methods MR imaging manifestations of 90 aged patients with degenerative osteoarthrosis of knee joints diagnosed in Hengshui Halison International Peace Hospital from Jun.2012 to Apr.2013 were retrospectively analyzed.Results There were different degrees of arthrodial cartilage damage in all the cases（grade Ⅱ in 36 cases,grade Ⅲ in 54 cases）,as well as bone hyperplasia and different amounts of arthroedema;there were also destruction of bone under arthrodial cartilage in 68 cases,bone marrow edema in 34 cases, meniscus degeneration and injury in 72 cases（ gradeⅠin 15 cases, grade Ⅱ in 44 cases,grade Ⅲ in 13 cases）,ligament injury in 18 cases（cruciate ligament injury in 10 cases,collateral ligament injury in 8 cases） ,joint loose body in 5 cases （ cartilage loose body in 2 cases,bone loose body in 3 cases） among all the 90 cases.Conclusion Structures of joint bone,articular cartilage, synovium, ligament and meniscus of elderly patients with degenerative osteoarthrosis of knee joints can be accurately demonstrated by 3.0T superconducting MR imaging,which can provide direct imaging basis for the diagnosis and evaluation of the damage in clinic.

关 键 词：骨关节病 磁共振成像 膝关节 退行性 

分 类 号：R445[医药卫生—影像医学与核医学]