肌骨高频超声联合MRI在关节软组织损伤诊断中的应用及其临床意义分析  

Application of Musculoskeletal High-Frequency Ultrasound Combined with MRI in the Diagnosis of Articular Soft Tissue Injury and Its Clinical Significance

作　　者：许光瑜[1] 祝旭飞 管敏[1] XU Guang-yu;ZHU Xu-fei;GUAN Min(Department of Ultrasound,the Second People's Hospital of Dalian,Dalian 116011,Liaoning Province,China;Department of Nephrology,the 967th Hospital of the People's Liberation Army,Dalian 116011,Liaoning Province,China)

机构地区：[1]大连市第二人民医院超声科,辽宁大连116011 [2]解放军第967医院肾脏内科,辽宁大连116011

出　　处：《中国CT和MRI杂志》2021年第12期167-170,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨肌骨高频超声联合MRI在关节软组织损伤诊断中的应用及其临床意义。方法选取2016年8月至2019年8月我院收治的关节软组织损伤患者148例,所有患者均进行肌骨高频超声与MRI诊断,将关节镜检查作为“金标准”。分析病理检查的结果、诊断方法的最终诊断结果、肌骨高频超声联合MRI诊断结果以及特异度、灵敏度。结果病理检查发现神经损伤3例(2.0%)、半月板损伤5例(3.4%)、肌肉损伤3例(2.0%)、肌腱损伤16例(10.8%)、韧带损伤15例(10.1%)、实性损伤10例(6.8%)、囊性肿块96例(64.9%);肌骨高频超声联合MRI诊断的阳性率与病理诊断结果相比,无明显差异(P>0.05);肌骨高频超声联合MRI诊断神经损伤2例(1.4%)、半月板损伤5例(3.4%)、肌肉损伤3例(2.0%)、肌腱损伤15例(10.1%)、韧带损伤14例(9.5%)、实性损伤10例(6.8%)、囊性肿块95例(64.2%),与病理诊断的符合率较高;肌骨高频超声联合MRI的特异度为90.9%(20/22),灵敏度为98.4%(124/126)。结论关节软组织损伤诊断中,肌骨高频超声联合MRI的诊断结果准确,值得应用。Objective To investigate the application and clinical significance of musculoskeletal high-frequency ultrasound combined with MRI in diagnosing soft tissue injury of joints.Methods A total of 148 patients with joint soft tissue injury admitted to our hospital from August 2016 to August 2019 were enrolled.All patients underwent high-frequency ultrasound,and MRI diagnosis of musculoskeletal,and arthroscopy was used as the gold standard.Analyze the results of the pathological examination,the final diagnosis of the diagnostic method,the musculoskeletal high-frequency ultrasound combined with MRI diagnosis results,specificity,sensitivity.Results Pathological examination revealed 3 cases of neurological injury(2.0%),5 cases of meniscus injury(3.4%),3 cases of muscle injury(2.0%),16 cases of tendon injury(10.8%),15 cases of ligament injury(10.1%).There were 10 cases(6.8%)with solid injury and 96 cases(64.9%)with cystic mass.The positive rate of musculoskeletal ultrasound combined with MRI was not significantly different from pathological diagnosis(P>0.05).Frequency ultrasound combined with MRI in the diagnosis of nerve injury in 2 cases(1.4%),meniscus injury in 5 cases(3.4%),muscle injury in 3 cases(2.0%),tendon injury in 15 cases(10.1%),ligament injury in 14 cases(9.5%)10 cases(6.8%)with solid injury and 95 cases(64.2%)with cystic mass,the coincidence rate with the pathological diagnosis was high;the specificity of musculoskeletal high-frequency ultrasound combined with MRI was 90.9%(20/22),sensitivity is 98.4%(124/126).Conclusion In the diagnosis of joint soft tissue injury,the diagnosis results of musculoskeletal high-frequency ultrasound combined with MRI are accurate and worthy of application.

关 键 词：肌骨高频超声 MRI 关节软组织损伤 病理诊断 符合率 

分 类 号：R445.1[医药卫生—影像医学与核医学] R445.2[医药卫生—诊断学]