MRI对膝关节外伤后前后交叉韧带损伤的诊断价值  

Clinical Application of MRI in the Diagnosis of ACL and PCL after Knee Joint Injury

作　　者：谭延召[1] 田克[2] TAN Yanzhao TIA N Ke(Department of Radiology Department of Orthopedics, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China)

机构地区：[1]郑州大学第五附属医院放射影像科,河南省郑州市450052 [2]郑州大学第五附属医院骨科,河南省郑州市450052

出　　处：《组织工程与重建外科杂志》2017年第3期157-159,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探讨MRI在膝关节外伤后前后交叉韧带损伤诊断中的临床应用。方法 2015年10月至2016年12月,共65例膝关节交叉韧带损伤患者,按照就诊顺序分为观察组(n=33)和对照组(n=32)。对照组采用CT扫描检查,观察组使用MRI,对患者关节进行扫描,比较两组的诊断效果。结果 MRI测量值与膝关节交叉韧带解剖标本的解剖测量值相比,差异无统计学意义(P>0.05);与CT测量值相比,MRI测量值与解剖值更接近,差异有统计学意义(P<0.05);MRI检查膝关节交叉韧带诊断符合率显著高于CT检查,差异有统计学意义(P<0.05)。结论 MRI检查测量值能够反映膝关节交叉韧带的真实解剖值,诊断符合率优于CT检查,是膝关节韧带损伤无创性检查诊断的首选方法。Objective To explore the clinical application of MRI in the diagnosis of ACL and PCL after knee joint injury. Methods From January 2015 to December 2016, 65 cases with eruciate ligament injury of knee joint were randomly divided into observation group （n=33） and control group （n=32）. Patients in control group were performed CT scanning, while patients in observation group received MRI scanning. The application effects of the two groups were analyzed and compared. Results There was no significant difference of the data between MRI and anatomical method on cruciate ligament （P〉0.05）, while there was significant difference of the data between MRI and CT （P〈0.05）, the MRI data was closer to the result. The cruciate ligament diagnostic coincidence rate of MRI was significantly higher than CT examination, and the difference was statistically significant （P〈0.05）. Conclusion MRI measurement value can reflect the reality of the knee cruciate ligament anatomy. The diagnosis coincidence rate of MRI is superior to CT examination. MRI is the first choice for non-invasive examination in the diagnosis of knee ligament injury.

关 键 词：膝关节外伤 MRI检查 交叉韧带 

分 类 号：R686.5[医药卫生—骨科学]