高频超声与MRI在膝骨关节炎诊断中的应用价值比较  

Comparison of application value of high frequency ultrasound and MRI in the diagnosis of knee osteoarthritis

作　　者：黎娉[1] 马钦风[1] 陈鲜霞[1] LI Pin;MA Qinfeng;CHEN Xianxia(Department of Ultrasound,Qinghai Provincial People's Hospital,Xining 810000,China)

机构地区：[1]青海省人民医院超声科,青海西宁810000

出　　处：《中国现代医生》2019年第10期130-132,I0002,共4页China Modern Doctor

摘　　要：目的探讨高频超声与MRI检查在膝骨关节炎中的应用价值。方法选取2017年1～12月于我院就诊的94例以膝关节疼痛为主要临床表现的患者进行回顾性分析,所有患者均行高频超声、MRI、关节镜检查。以关节镜检查结果作为金标准,总结高频超声、MRI两种检查的检查征象,并与关节镜检查结果进行比较。比较高频超声与MRI诊断膝骨关节炎的灵敏度和特异度。结果一致性分析显示,高频超声、MRI检查与关节镜检查结果一致性均为良(Kappa=0.63、0.61,P均<0.05)。高频超声检查膝骨关节炎的灵敏度和特异度分别为86.5%和85.0%,MRI检查的分别为89.2%和75.0%,高频超声和MRI检查,组间差异无统计学意义(P>0.05)。结论高频超声与MRI检查在膝骨关节炎诊断中均具有良好的应用价值,与关节镜检查结果一致性良。与MRI检查相比,高频超声诊断膝骨关节炎的灵敏度和特异度无差异,可以作用膝骨关节炎的常规筛查方法。Objective To explore the application value of high frequency ultrasound and MRI in knee osteoarthritis.Methods 94 patients with knee pain as the main clinical manifestations in our hospital from January to December 2017 were retrospectively analyzed.All patients underwent high-frequency ultrasound,MRI,and arthroscopy.The results of arthroscopy were used as the gold standard,and the signs of high-frequency ultrasound and MRI examinations were summarized and compared with the results of arthroscopy.The sensitivity and specificity between high-frequency ultrasound and MRI in the diagnosis of knee osteoarthritis were compared.Results Consistency analysis showed that high-frequency ultrasound,MRI examination with arthroscopy consistent results were good(Kappa=0.63,0.61,P<0.05).The sensitivity and specificity of high-frequency ultrasonography for knee osteoarthritis were 86.5%and 85.0%,respectively,and the sensitivity and specificity of MRI was 89.2%and 75.0%,respectively.The difference between high-frequency ultrasound and MRI was not statistically significant(P>0.05).Conclusion High-frequency ultrasound and MRI have good application value in the diagnosis of knee osteoarthritis,and the results are consistent with that of arthroscopy.Compared with MRI,high-frequency ultrasound diagnosis of knee osteoarthritis has no difference in sensitivity and specificity,and can be used for routine screening of knee osteoarthritis.

关 键 词：高频超声 MRI 膝骨关节炎 关节镜 

分 类 号：R445.1[医药卫生—影像医学与核医学]