CT与MRI用于膝半月板和关节软骨损伤的诊断
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摘要
目的:分析CT与MRI用于膝半月板和关节软骨损伤的诊断价值。方法:选取我院2016年5月—2017年6月收治的60例膝半月板和关节软骨损伤作为研究对象,分别予以所选患者MRI和CT检查诊断,对比MRI和CT临床诊断准确率。结果:MRI和CT对膝半月板I级、Ⅱ级损伤的诊断准确率对比无差异,P>0.05;MRI膝半月板Ⅲ级损伤的诊断准确率和总诊断准确率均明显高于CT,P<0.05;MRI和CT对关节软骨I期、Ⅱa期、Ⅱb期及Ⅲ期损伤的诊断准确率对比无差异,P>0.05;MRI对关节软骨IV期损伤的诊断准确率和总诊断准确率明显高于CT,P<0.05。结论:与CT检查相比,MRI对膝半月板损伤和关节软骨损伤的诊断准确率更高,尤其在Ⅲ级膝半月板损伤及IV关节软骨的诊断方面优势更为明显,更具有临床诊断价值。
Objective To analyze the diagnostic value of CT and MRI in knee meniscus and articular cartilage injury Methods 60 cases of knee meniscus and articular cartilage injuries admitted in our hospital from May 2016 to June 2017 were selected for the diagnosis of MRI and CT respectively, and the accuracy of MRI and CT were compared. Results The diagnostic accuracy and total diagnostic accuracy of Ⅲ injury of knee meniscus grade Ⅰ and CT were significantly higher than those of Ⅲinjury of knee meniscus grade Ⅰ(P > 0.05) and CT respectively(P < 0.05).There was no difference between CT and CT in the diagnosis accuracy of articular cartilage stage Ⅳ injury(P > 0.05). The diagnostic accuracy and total accuracy of CT scan were significantly higher than that of CTN(P < 0.05).Conclusion Compared with CT, MRI is more accurate in the diagnosis of knee meniscus injury and articular cartilage injury, especially in the diagnosis of Ⅲ grade knee meniscus injury and IV articular cartilage.
Objective To analyze the diagnostic value of CT and MRI in knee meniscus and articular cartilage injury Methods 60 cases of knee meniscus and articular cartilage injuries admitted in our hospital from May 2016 to June 2017 were selected for the diagnosis of MRI and CT respectively, and the accuracy of MRI and CT were compared. Results The diagnostic accuracy and total diagnostic accuracy of Ⅲ injury of knee meniscus grade Ⅰ and CT were significantly higher than those of Ⅲinjury of knee meniscus grade Ⅰ(P > 0.05) and CT respectively(P < 0.05).There was no difference between CT and CT in the diagnosis accuracy of articular cartilage stage Ⅳ injury(P > 0.05). The diagnostic accuracy and total accuracy of CT scan were significantly higher than that of CTN(P < 0.05).Conclusion Compared with CT, MRI is more accurate in the diagnosis of knee meniscus injury and articular cartilage injury, especially in the diagnosis of Ⅲ grade knee meniscus injury and IV articular cartilage.
引文
[1]杨珂,潘华山,YANG Ke,等.CT与MRI对膝半月板和关节软骨损伤的诊断价值[J].临床合理用药杂志,2016,9(18):145-146.
[2]李樑,余剑峰,刘书奇.CT与MRI诊断膝半月板和关节软骨损伤临床价值对比[J].重庆医学,2016,45(4):522-524.
[3]赖智民.膝半月板和关节软骨损伤应用CT与MRI诊断临床效果分析[J].中国CT和MRI杂志,2017,15(2):116-118.
[4]陈体,苏雪娟.CT与MRI诊断膝关节半月板和关节软骨损伤的临床效果研究[J].内蒙古医学杂志,2017,49(9):1127-1128.
[5]陈涛.CT与MRI诊断膝半月板和关节软骨损伤的临床价值对比[J].基层医学论坛,2017,21(22):2977-2978.
[6]李奎生.膝关节半月板损伤的影像学诊断研究[J].中国CT和MRI杂志,2016,14(9):117-119.
[7]陆宇政.CT与MRI诊断膝半月板和关节软骨损伤的临床观察[J].齐齐哈尔医学院学报,2017,38(1):32-33.
[8]陈新国,王兴华,刘丽,等.MRI和多层螺旋CT诊断膝关节损伤临床价值分析[J].医学影像学杂志,2017,27(12):2388-2391.
[2]李樑,余剑峰,刘书奇.CT与MRI诊断膝半月板和关节软骨损伤临床价值对比[J].重庆医学,2016,45(4):522-524.
[3]赖智民.膝半月板和关节软骨损伤应用CT与MRI诊断临床效果分析[J].中国CT和MRI杂志,2017,15(2):116-118.
[4]陈体,苏雪娟.CT与MRI诊断膝关节半月板和关节软骨损伤的临床效果研究[J].内蒙古医学杂志,2017,49(9):1127-1128.
[5]陈涛.CT与MRI诊断膝半月板和关节软骨损伤的临床价值对比[J].基层医学论坛,2017,21(22):2977-2978.
[6]李奎生.膝关节半月板损伤的影像学诊断研究[J].中国CT和MRI杂志,2016,14(9):117-119.
[7]陆宇政.CT与MRI诊断膝半月板和关节软骨损伤的临床观察[J].齐齐哈尔医学院学报,2017,38(1):32-33.
[8]陈新国,王兴华,刘丽,等.MRI和多层螺旋CT诊断膝关节损伤临床价值分析[J].医学影像学杂志,2017,27(12):2388-2391.