超声和X线平片联合诊断膝关节滑膜骨软骨瘤病的临床价值研究  

Clinical value of combination of ultrasound and X-ray in diagnosis of knee synovial osteochondromatosis

作　　者：潘旭红[1] 王宁 刘旭林[3] 张光辉[1] 

机构地区：[1]山东省烟台市烟台山医院影像科,264001 [2]烟台市中医医院介入外科 [3]滨州医学院烟台附属医院影像科

出　　处：《临床超声医学杂志》2016年第6期393-396,共4页Journal of Clinical Ultrasound in Medicine

摘　　要：目的探讨超声与X线平片联合诊断膝关节滑膜骨软骨瘤病（SO）的临床应用价值。方法以手术和病理结果作为金标准,比较51例膝关节SO患者的术前超声、X线平片及X线平片＋超声三种方法对SO结节及继发性骨关节病的显示情况。结果超声对软骨结节的显示率（93/98）明显高于X线平片（0/98）,差异有统计学意义（χ^2=176.971,P〈0.05）;超声对关节周围钙化结节的显示率（489/545）高于X线平片（403/545）,差异有统计学意义（χ^2=45.645,P〈0.05）;X线平片对关节间隙深部钙化结节的显示率（12/15）明显高于超声检查（0/15）,差异有统计学意义（χ^2=20.000,P〈0.05）;X线平片和超声联合检查SO结节的显示率（634/658）明显高于单一X线平片检查（415/658）单一超声检查（582/658）,差异均有统计学意义（χ^2=225.350、29.264,均P〈0.05）。X线平片显示继发性骨关节病20个,超声显示了其中10个,差异有统计学意义（χ^2=4.640,P〈0.05）。结论超声和X线平片联合诊断能取长补短,明显提高结节显示率,具有很高的临床应用价值。Objective To explore the clinical value of the combination of ultrasound and X-ray in knee synovial osteochondromatosis（SO）. Methods In 51 patients with knee SO proved by surgery and pathology,the differences of the three methods（ultrasound,X-ray,the combination of X-ray and ultrasound）in revealing the SO nodules and secondary bone and joint lesions were compared. Results The ultrasound identification rate（93/98）of cartilaginous nodules was higher than that of plain X-ray（0/98）,there was significant difference（χ~2=176.971,P〈0.05）. The ultrasound identification rate（489/545）of the calcific nodules around the joints was higher than that of plain X-ray（403/545）,there was significant difference（χ~2=45.645,P〈0.05）.The X-ray identification rate（12/15）of the calcific nodules deep under the joints was higher than that of ultrasound（0/15）,there was significant difference（χ~2=20.000,P〈0.05）. The identification rate（634/658）of combination diagnosis method for all the SO nodules was higher than that of X-ray（415/658）and ultrasound（582/658）,there was significant difference（χ~2=225.350,29.264,P〈0.05）. Twenty secondary bone and joint lesions were revealed by X-ray,only 10 by ultrasound,there was significant difference（χ~2=4.640,P〈0.05）. Conclusion The combination of ultrasound and X-ray could overcome the shortcomings of the two methods.The nodule identification rate could be improved,and it has high clinical application value.

关 键 词：超声检查 放射摄影术 滑膜骨软骨瘤病 

分 类 号：R738.3[医药卫生—肿瘤] R445.1[医药卫生—临床医学]