膝关节半月板囊肿可行高频超声引导微创治疗  

Diagnostic and therapeutic value of ultrasound in knee joint meniscus injury and cysts

作　　者：韩小华 吴斌洪 梁键锋[1] 罗平平[1] 冯明初 陈燕璇[1] 瞿国萍[1] 李吉友 HAN Xiaohua;WU Binhong;LIANG Jianfeng;LUO Pingping;FENG Mingchu;CHEN Yanxuan;QU Guoping;LI Jiyou(Department of Ultrasonic,The Traditional Chinese Medical Hospital of Zhongshan,Zhongshan 528400,China)

机构地区：[1]广东省中山市中医院超声科

出　　处：《分子影像学杂志》2019年第4期449-452,共4页Journal of Molecular Imaging

基　　金：中山市卫生局医学科研项目（2018A020125）

摘　　要：目的分析高频超声对膝关节半月板囊肿的显像特点及引导微创治疗,提供一种对该病的诊疗方法。方法回顾性分析我院2017年1月~2019年6月86例超声诊断为膝关节半月板囊肿的病例,并与MRI、关节镜对照,并对8例采用超声引导下微创治疗,探讨高频超声对膝关节半月板囊肿及其撕裂情况的的诊疗价值。结果高频超声诊断半月板囊肿的86例,与MRI、关节镜对照,超声对半月板囊肿的敏感性很高,但是误诊1例,特异性约98.83%;82例半月板囊肿合并撕裂病例中超声明确显示合并半月板撕裂78例,漏诊4例,敏感性约95.12%。行超声引导下微创治疗8例,术后效果均改善,1例复发,暂未见明显临床症状。结论高频超声对膝关节半月板囊肿及其撕裂情况有较高的临床诊断价值,并可行超声引导微创治疗。Objective To explore the imaging characteristics of high frequency ultrasound in meniscus cyst of knee joint,guide minimally invasive treatment,and provide a method for diagnosis and treatment of this disease.Methods The ultrasonographic findings of 86 cases of meniscus cyst of knee joint from January 2017 to June 2019 were retrospectively analyzed.The ultrasonographic findings of meniscus cyst of knee joint were compared with those of MRI and arthroscopy.Eight cases were treated with ultrasound-guided minimally invasive therapy.Results Among 86 cases of meniscus cysts diagnosed by high frequency ultrasound,compared with MRI and arthroscopy,ultrasound was highly sensitive to meniscal cysts.But 1 case was misdiagnosed,with a specificity of about 98.83%.In 82 cases of meniscal cysts,ultrasound showed 78 cases with meniscal tear,but 4 case was missed diagnossis,with a sensitivity of about 95.12%.The effect of ultrasound-guided minimally invasive treatment was improved in 8 cases.One case recurred,but no obvious clinical symptoms were found.Conclusion High-frequency ultrasound has a high clinical value in the diagnosis of meniscal cysts.It can be used for ultrasound-guided minimally invasive treatment.

关 键 词：肌骨超声 膝关节 半月板囊肿 微创治疗 

分 类 号：R68[医药卫生—骨科学]