膝骨关节炎患者应用核磁共振的诊断价值研究  

Research on Value of Nuclear Magnetic Resonance in Diagnosis of Patients with Knee Osteoarthritis

作　　者：尚峰[1] 李洪臣[1] 徐海龙[1] 

机构地区：[1]内蒙古通辽市科尔沁区第一人民医院CT室,内蒙古通辽028000

出　　处：《中外医疗》2016年第11期195-196,共2页China & Foreign Medical Treatment

摘　　要：目的探究膝骨关节炎患者应用核磁共振的诊断价值,旨在提升临床诊断水平。方法整群选取该院2014年5月—2015年6月收治的79例膝骨关节炎患者作为研究对象,所有患者先进行核磁共振检查,将其作为研究组,后对所有患者进行关节镜检查,将其作为对照组,对比两组检查特异度、灵敏度及准确度,并进行临床分析。结果研究组患者检查灵敏度为96.20%,特异度为98.73%,准确度为100.00%,对照组分别为84.81%、88.61%、83.54%,研究组检查准确度、灵敏度及特异度均显著高于对照组,差异具有统计学意义(P<0.05)。结论膝骨关节炎患者应用关节镜及核磁共振检查准确度、灵敏度、特异度均较高,而核磁共振诊断价值更高,其准确度、灵敏度及特异度均高于关节镜,具有更高临床应用以及推广价值。Objective To discuss the value of nuclear magnetic resonance in diagnosis of patients With knee osteoarthritis in order to improve the clinical diagnostic level. Methods 79 cases of patients with knee osteoarthritis admitted and treated in our hospital from May 2014 to June 2015 were selected as the research object, and all patients were examined by the nu- clear magnetic resonance firstly and regarded as the research group, and then all patients were examined by arthroscopy and were regarded as the control group, and the examined specificity, sensitivity and accuracy were compared between the two groups, and were given clinical analysis. Results The examined specificity, sensitivity and accuracy in the research group were obviously higher than those in the control group （96.20%, 98.73%, 100.00% vs 84.81%, 88.61%, 83.54%）, all P〈0.05, and the differences had statistical significance. Conclusion Both the arthroscopy and the nuclear magnetic resonance has higher accuracy, specificity and sensitivity for patients with knee osteoarthritis, but the value of the nuclear magnetic reso- nance is higher, and the accuracy, sensitivity and specificity of it are higher than those of the arthroscopy, which is of high- er clinical application and promotion value.

关 键 词：膝骨关节炎 核磁共振 关节镜 准确度 灵敏度 

分 类 号：R445.2[医药卫生—影像医学与核医学]