超声诊断髋关节镜二次翻修前上盂唇撕裂的应用价值  

Application value of ultrasound in the diagnosis of anterosuperior acetabular labral tears in patients underwent revision hip arthroscopy

作　　者：傅强[1] 崔立刚[1] 徐雁[2] 高冠英 赵宇晴[3] FU Qiang;CUI Ligang;XU Yan;GAO Guanying;ZHAO Yuqing(Department of Ultrasound,Peking University Third Hospital,Beijing 100191,China)

机构地区：[1]北京大学第三医院超声科,北京市100191 [2]北京大学第三医院运动医学研究所,北京市100191 [3]北京大学第三医院放射科,北京市100191

出　　处：《临床超声医学杂志》2021年第7期498-501,共4页Journal of Clinical Ultrasound in Medicine

基　　金：北京大学第三医院临床重点项目(BYSYZD2019003)。

摘　　要：目的探讨超声诊断髋关节镜二次翻修患者前上盂唇撕裂的临床应用价值。方法回顾性分析23例髋关节镜二次翻修患者的超声和MRI检查资料,以关节镜手术结果为金标准,评估超声标准1(盂唇内裂隙)、超声标准2(符合盂唇内裂隙、盂唇肿胀、回声不均匀、盂唇局部结构缺失或分离、盂唇旁囊肿中一条或多条)诊断髋关节镜二次翻修患者前上盂唇撕裂的诊断效能,并与MRI标准1(MRI评估4级以上)、MRI标准2(MRI评估3级以上)的诊断效能比较。结果超声标准1、超声标准2诊断前上盂唇撕裂的敏感性、特异性和准确率分别为30.0%、100%、39.1%和45.0%、100%、52.2%,MRI标准1、MRI标准2诊断前上盂唇撕裂的敏感性、特异性和准确率分别为30.0%、100%、39.1%和70.0%、33.3%、65.2%。超声检查与MRI检查在评估前上盂唇撕裂敏感性和准确率比较,差异均无统计学意义。结论联合多个超声征象和MRI相对宽松指征可提高髋关节镜二次翻修患者前上盂唇撕裂的诊断敏感性和准确率,有一定的临床价值。Objective acetabular labral tears in patients underwent revision hip arthroscopy.MethodsData of 23 patients underwent second revision hip with ultrasound and MRI were analyzed retrospectively.The diagnostic efficacy of ultrasonic criteria 1(internal cleft of labrum)and ultrasonic criteria 2(internal cleft of labrum,swelling of labrum,uneven echo,loss or separation of local structure of labrum,internal cleft of labrum)was evaluated in the diagnosis of anterosuperior labrum tear in patients underwent second revision of hip arthroscopy.The results were compared with MRI standard 1(MRI evaluation level 4 or above),MRI standard 2(MRI evaluation level 3 or above).ResultsThe sensitivity,specificity and accuracy by ultrasound diagnostic criterias 1 and 2 were 30.0%,100%,39.1%and 45.0%,100%,52.2%,respectively.The sensitivity,specificity and accuracy by MRI diagnostic criterias 1 and 2 were 30.0%,100%,39.1%and 70.0%,33.3%,65.2%,respectively.There were no statistically significant difference in sensitivity and accuracy of ultrasound and MRI in evaluating anterosuperior acetabular labral tear labrum tear detection.ConclusionThere is a trend towards improved sensitivity and accuracy for anterosuperior acetabular labral tear with combining multiple ultrasonic signs and applying relatively loose indications on MRI.

关 键 词：超声检查 盂唇撕裂 关节镜翻修 MRI 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686.1[医药卫生—诊断学]