MRI在膝关节非肿瘤性病变中的应用  

Application of MRI in diagnosing non-neoplastic diseases of the knee joint

作　　者：赵小二[1] 张继[1] 钟星[1] 王松[1] 崔萍[1] 

机构地区：[1]安徽医科大学合肥附属医院合肥市第二人民医院磁共振室,安徽合肥230011

出　　处：《医学影像学杂志》2016年第7期1292-1295,1303,共5页Journal of Medical Imaging

摘　　要：目的探讨MRI对膝关节非肿瘤性病变的诊断价值及其对临床治疗的指导意义。方法回顾性分析、对比118例膝关节病变的关节镜或手术结果与术前MRI结果。结果以关节镜或手术为金标准,MRI显示病变的准确性分别为韧带损伤77.1%(64/83),半月板损伤79.8%(67/84),其中半月板桶柄样撕裂88.9%(8/9),盘状半月板90.9%(10/11),软骨损伤78.3%(83/109),滑膜病变73.0%(27/37),关节囊受损100%(7/7),骨髓炎100%(4/4),游离体100%(12/12),腘窝囊肿100%(3/3)。结论 MRI能够准确评价膝关节各类疾病,尤其对病变程度、分期、范围及性质的判断。Objective To investigate the value of MRI in diagnosing and clinical guiding of non-neoplastic diseases of the knee joint. Methods In this study, a retrospective review and comparison of the preoperative MR imaging and arthroscopic or intraoperative findings of 118 patients with knee diseases were performed. Results We took arthroscopic and intraoperative findings as gold standard. The accuracy of MRI in diagnosing non-neoplastic diseases of the knee joint was 77.1%, 79.8%, 88.9%, 90. 9%, 78.3%, 73.0%, 100%, 100%, 100% and 100% for ligament injury, meniscus injury, meniscus bucket-handle tear, discoid meniscus, cartilaginous injury, synovial diseases, joint capsular injury, osteomyelitis, loose bodies, popliteal cyst, respectively. Conclusion MRI is a sensitive imaging modality in diagnosing various non-neoplastic knee diseases, especially in displaying degree, stage, extent and property of the lesion. [ Key words] Knee joint ; Non-neoplasms ; Magnetic resonance imaging; Arthroscopy

关 键 词：膝关节 非肿瘤性病变 磁共振成像 关节镜检查 

分 类 号：R738[医药卫生—肿瘤] R445.2[医药卫生—临床医学]