膝关节色素沉着绒毛结节性滑膜炎影像诊断价值  

The value of imaging diagnosis in knee joint pigmented villonodular synovitis

作　　者：侯文忠[1] 吴伟君[1] 

机构地区：[1]广东省梅州市人民医院放射科,514031

出　　处：《现代医用影像学》2017年第3期601-603,共3页Modern Medical Imageology

摘　　要：目的:研究并探讨影像学检测在膝关节色素沉着绒毛结节性滑膜炎中的诊断价值。方法:选取2013年1月~2016年7月我院收治的24例经手术病理证实且保留完整影像学资料的膝关节色素沉着绒毛结节性滑膜炎患者作为研究对象,对患者的影像学资料进行回顾性分析,对其X线、MRI的影像学表现进行总结分析,并比较X线、MRI对膝关节色素沉着绒毛结节性滑膜炎的诊断符合率。结果:术前X线对膝关节色素沉着绒毛结节性滑膜炎的诊断符合率为75.00%,MRI的诊断符合率为95.83%,MRI对膝关节色素沉着绒毛结节性滑膜炎的诊断符合率较X线更高,P<0.05,差异具有统计学意义。结论:膝关节色素沉着绒毛结节性滑膜炎的X线、MRI影像学表现各有不同,MRI对膝关节色素沉着绒毛结节性滑膜炎的诊断价值更高,可作为膝关节色素沉着绒毛结节性滑膜炎术前影像诊断的首选。Objective： To study the diagnostic value of detection and imaging in knee joint pigmented villonodular synovitis. Methods： 24 cases of knee joint pigmented villonodular synovitis patients who confirmed by operation and pathology and retained the complete imaging data in the hospital from January 2013 ~ July 2016 were selected as the research object,the imaging data of patients were analyzed,the imaging of X-ray and MRI was summarized,and the diagnostic coincidence rate of X-ray and MRI in knee joint pigmented villonodular synovitis were compared. Results： The diagnostic coincidence rate of X-ray in knee joint pigmented villonodular synovitis was 75%,the diagnostic coincidence rate of MRI was 95. 83%,the diagnostic coincidence rate of MRI in knee joint pigmented villonodular synovitis was higher than X-ray,P 〈 0. 05,the difference was statistically significant. Conclusion： X-ray and MRI images in knee joint pigmented villonodular synovitis manifestations are different,the diagnostic value of MRI in knee joint pigmented villonodular synovitis is higher,can be used as the first choice of preoperative diagnosis in knee joint pigmented villonodular synovitis.

关 键 词：膝关节 色素沉着绒毛结节性滑膜炎 影像诊断 X线 MRI 

分 类 号：R445.2[医药卫生—影像医学与核医学] R686.7[医药卫生—诊断学] R816.8[医药卫生—临床医学]