磁共振成像检查对内外侧半月板损伤的临床诊断价值  

The Clinical Value of Magnetic Resonance Imaging in Diagnosis of Medial and Lateral Meniscus Injury

作　　者：季春侠 蔡振[1] 王彩 JI Chunxia;CAI Zhen;WANG Cai(Department of Radiology,Zhongwu Hospital,Suqian City,Suqian,Jiangsu Province,223800 China)

机构地区：[1]宿迁市钟吾医院放射科,江苏宿迁223800

出　　处：《世界复合医学》2022年第6期77-80,88,共5页World Journal of Complex Medicine

摘　　要：目的探讨磁共振成像检查对内外侧半月板损伤的临床诊断价值。方法选择于2020年1月—2021年10月宿迁市钟吾医院收治的78例疑似半月板损伤患者作为研究对象,对其临床资料进行回顾性分析,均予以患者磁共振成像及关节镜检查,分析磁共振成像对内外半月板撕裂伤的诊断效能及价值。结果MRI诊断内侧半月板损伤的敏感度为90.32%,特异度为80.00%,阳性预测值为93.33%,阴性预测值为72.73%,预测准确值为87.80%,表明MRI与金标准诊断有较高的一致性(Kappa=0.786);MRI诊断外侧半月板损伤的敏感度为92.31%,特异度为83.33%,阳性预测值为92.31%,阴性预测值为83.33%,预测准确值为89.47%,表明MRI与金标准诊断有较高的一致性(Kappa=0.793)。结论磁共振成像检查对半月板损伤具有积极意义,能精准测定内外侧半月板撕裂情况,有效提高诊断效能,有利于临床诊治。Objective To investigate the clinical value of magnetic resonance imaging in the diagnosis of medial and lateral meniscus injury.Methods 78 patients with suspected meniscus injury who were treated in Zhongwu Hospital,Suqian City from January 2020 to October 2021 were selected as the research subjects.The clinical data were retrospectively analyzed,and magnetic resonance imaging and arthroscopy were performed in all patients.To analyze the diagnostic efficacy and value of magnetic resonance imaging for inner and outer meniscus tears.Results The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of MRI in the diagnosis of medial meniscus injury were 90.32%,80.00%,93.33%,72.73%and 87.80%,respectively,indicating that MRI was highly consistent with the gold standard di⁃agnosis(Kappa=0.786).The sensitivity,specificity,positive predictive value,negative predictive value and accuracy of MRI in the diagnosis of lateral meniscus injury were 92.31%,83.33%,92.31%,83.33%,and 89.47%,respectively,indicating that MRI was highly consistent with the gold standard diagnosis(Kappa=0.793).Conclusion Magnetic resonance imaging examination has positive significance for meniscus injury,it can accurately measure the tear of the meniscus and the lateral meniscus,which can effectively improve the diagnostic efficiency and facilitate clinical diagnosis and treatment.

关 键 词：磁共振成像检查 内外侧半月板损伤 敏感性 特异性 

分 类 号：R445[医药卫生—影像医学与核医学]