MRI在不典型肘关节损伤诊断中的应用研究  

Application of MRI in the Diagnosis of Atypical Elbow Injury

作　　者：陈伟 熊文文 高倩玫 查婧 CHEN Wei;XIONG Wen-wen;GAO Qian-mei;ZHA Jing(Department of Radiology and Imaging,Shaowu Municipal Hospital,Shaowu 354000,FujianProvince,China;Department of Radiological Diagnosis,Jiangxi Provincial Armed Police Corps Hospital,Nanchang330000,Jiangxi Province,China;Department of Radiological Diagnosis,NO.908th Hospital of Chinese PLA Joint Logistic SupportForce,Nanchang 330000,Jiangxi Province,China)

机构地区：[1]邵武市立医院放射影像科,福建邵武354000 [2]武警江西省总队医院放射诊断科,江西南昌330000 [3]中国人民解放军联勤保障部队第九〇八医院放射诊断科,江西南昌330000

出　　处：《中国CT和MRI杂志》2024年第9期160-162,共3页Chinese Journal of CT and MRI

基　　金：江西省卫生健康委科技计划(SKJP220218529)。

摘　　要：目的探究核磁共振图像(MRI)在不典型肘关节损伤诊断中的应用效果。方法回顾性分析我院2021年1月—2023年5月就诊80例不典型肘关节损伤患者的临床资料,所有患者入组后均接受X线和MRI检查。X线检查采用正侧位进行,MRI检查序列包括T1WI、T2WI、PDWI、STIR,对患者冠状、矢状、轴面进行扫描。对比两种检测方法的诊断结果,以综合检查作为标准,分析X线和MRI的诊断价值。结果经联合诊断结果发现,80例不典型肘关节损伤患者中68例发生骨折,其中尺骨冠突骨折12(17.65%)、尺骨鹰嘴骨折13(19.12%)、桡骨头颈骨折6(8.82%)、桡骨小头脱位5(7.35%)、肱骨内髁骨折11(16.18%)、肱骨外髁骨折8(11.76%)、肱骨髁间骨折7(10.29%)、肱骨滑车6(8.82%)。MRI检查敏感度显著高于X线检查,漏诊率显著低于X线检查(P<0.05)。结论采用MRI检测不典型肘关节损伤患者,其诊断价值较高,可帮助医师快速鉴别损伤情况,适合临床推广应用。Objective To explore the application effect of magnetic resonance imaging(MRI)in the diagnosis of atypical elbow injury.Methods The clinical data of 80 patients with atypical elbow injury who were treated in our hospital from January 2021 to May 2023 were retrospectively analyzed.All patients received X-ray examination and MRI examination after admission.X-ray examination was performed in anterolateral position,and MRI examination sequences including T1WI,T2WI,PDWI and STIR were used to scan the coronal,sagittal and axial planes of patients.The diagnostic results of the two detection methods were compared,and the diagnostic value of X-ray and MRI was analyzed with comprehensive examination as the standard.Results Combined diagnosis showed that 68 cases of 80 patients with atypical elbow injury had fractures,including 12 cases(17.65%)of ulna coronoid process fracture,13 cases(19.12%)of olecranal fractures,6 cases(8.82%)of radial head and neck fractures,5 cases(7.35%)of radius head dislocation,11 cases(16.18%)of humeral medial condylar fractures,8 cases(11.76%)of humeral lateral condylar fractures,7 cases(10.29%)of humeral intercondylar fractures and 6 cases(8.82%)of humeral trochlea.The sensitivity of MRI examination was significantly higher than that of X-ray examination while the rate of missed diagnosis was significantly lower than that of X-ray examination(P<0.05).Conclusion MRI is of high diagnostic value in detecting patients with atypical elbow injury,and it can help doctors to identify the injury quickly and is suitable for clinical promotion and application.

关 键 词：核磁共振图像 肘关节损伤 临床诊断 

分 类 号：R445.2[医药卫生—影像医学与核医学]