MRI诊断膝关节侧副韧带损伤的影像学特征与分级情况探讨  

Study on the imaging features and grading of MRI in diagnosing collateral ligament injury of the knee joint

作　　者：曾伟金 吕秀金 叶海涛 ZENG Wei-Jin;LV Xiu-fin;YE Hai-tao(Department of Radiology,The Second People＇s Hospital of Shanwei City,Guangdong Province,Shanwei Yihui＇s Funds Hospitals,Shanwei 516600,China)

机构地区：[1]广东省汕尾市第二人民医院汕尾逸挥基金医院医学影像科,广东汕尾516600

出　　处：《吉林医学》2018年第7期1336-1337,共2页Jilin Medical Journal

摘　　要：目的:探讨MRI诊断膝关节侧副韧带损伤的影像学特征、分级情况。方法:随机选择行膝关节侧副韧带损伤检查的患者60例(71膝)进行临床研究。所有患者分别给予关节镜与MRI检查,观察MRI对侧副韧带损伤的检出率和正确分级率。结果:以关节镜诊断结果作为标准,60例患者共计71个患膝,MRI共计检出66个,检出率为92.96%,与关节镜检查结果比较差异无统计学意义(P>0.05)。在损伤分级上,Ⅰ级、Ⅱ级、Ⅲ级MRI检出率分别为91.67%、92.59%、100.00%,与关节镜分级检查比较差异无统计学意义(P>0.05)。结论:MRI对膝关节侧副韧带损伤诊断具有重要的临床价值,能够准确诊断韧带损伤并进行分级,为后续治疗提供可靠依据。Objective To explore the imaging features and grading of MRI in diagnosing collateral ligament injury of knee joint. Method A total of 60 patients（ 71 knees） undergoing knee joint collateral ligament injury examination were selected for clinical study. All patients were examined by arthroscopy and MRI respectively. The detection rate and correct grading rate of collateral ligament injury of MRI were observed. Results According to the results of arthroscopy,71 knees were found in 60 patients. The total number of MRI was 66,and the detection rate was 92. 96%. There was no statistical difference between arthroscopy（ P 〉0. 05）. The detection rates of Ⅰ,Ⅱ and Ⅲ MRI were 91. 67%,92. 59% and 100. 00% in the damage classification,respectively,and there was no statistical difference from the arthroscopy（ P〉 0. 05）. Conclusion MRI has an important clinical value for the injury of the knee joint collateral ligament. It can accurately diagnose the ligament injury and classify the ligament. It provides a reliable basis for the follow-up treatment.

关 键 词：MRI 膝关节 侧副韧带 

分 类 号：R445.2[医药卫生—影像医学与核医学] R686.5[医药卫生—诊断学]