MRI 3D CUBE T_(2)序列检查在踝关节外伤患者韧带损伤诊断中的价值  

Value of MRI 3D CUBE T_(2) Sequence Examination in the Diagnosis of Ligament Injury in Patients with Ankle Joint Trauma

作　　者：李大伟 郭嘉亮 LI Dawei;GUO Jialiang(The First People's Hospital of Baiyin City,Baiyin 730900,China)

机构地区：[1]白银市第一人民医院,甘肃白银730900 [2]南方医科大学南方医院增城院区

出　　处：《中外医学研究》2023年第31期65-69,共5页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:研究MRI 3D CUBE T_(2)序列检查在踝关节外伤患者韧带损伤诊断中的价值。方法:选择2020年4月—2023年4月于白银市第一人民医院就诊的226例踝关节外伤拟行手术术前患者作为研究对象,按照不同检查方式将患者分为观察组(n=126)与对照组(n=100)。观察组采用MRI 3D CUBE T_(2)序列检查,对照组采取常规MRI检查。比较两组患侧、健侧距腓前韧带测量结果、诊断效能。结果:两组患侧、健侧距腓前韧带宽度及厚度比较,差异无统计学意义(P>0.05)。观察组Ⅰ级踝关节外伤患者韧带损伤诊断准确度、敏感度、特异度、阳性预测值、阴性预测值高于对照组,Ⅱ级患者准确度、敏感度、阴性预测值高于对照组,Ⅲ级患者准确度、特异度、阳性预测值高于对照组,差异有统计学意义(P<0.05)。结论:MRI 3D CUBE T_(2)序列检查踝关节外伤患者韧带损伤诊断效能高于常规MRI检查,可作为治疗效果评价及康复治疗的重要依据。Objective:To investigate the value of MRI 3D CUBE T_(2) sequence examination in the diagnosis of ligament injury in patients with ankle joint trauma.Method:A total of 226 patients with ankle joint trauma who treated in the First People's Hospital of Baiyin City from April 2020 to April 2023 were selected as the research objects,the patients were divided into the observation group(n=126)and the control group(n=100)according to different examination methods.The observation group was examined by MRI 3D CUBE T_(2) sequence,while the control group was examined by conventional MRI.The measurement results of anterior talofibular ligament on the affected side and healthy side and diagnostic efficacy were compared between two groups.Result:There were no significant differences in the width and thickness of anterior talofibular ligament on the affected side and healthy side between two groups(P>0.05).The accuracy,sensitivity,specificity,positive predictive value and negative predictive value of ligament injury in gradeⅠpatients in the observation group were higher than those in the control group,the accuracy,sensitivity and negative predictive value of gradeⅡpatients were higher than those in the control group,and the accuracy,specificity and positive predictive value of gradeⅢpatients were higher than those in the control group,the differences were statistically significant(P<0.05).Conclusion:The diagnostic efficiency of MRI 3D CUBE T_(2) sequence for ligament injury in patients with ankle trauma is higher than that of conventional MRI,which can be used as an important basis for the therapeutic effect evaluation and rehabilitation treatment.

关 键 词：MRI 3D CUBE T_(2)序列 踝关节外伤 韧带损伤 

分 类 号：R684[医药卫生—骨科学] R445.2[医药卫生—外科学]