关节镜与MRI在诊断膝关节韧带损伤的作用研究
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摘要
目的探讨关节镜与MRI对膝关节韧带损伤的诊断价值,并对手术的指导作用。方法总结分析26例,其中,13例直接作关节镜,13例先做MRI,再作关节镜手术,观察MRI对手术治疗的指导意义。结果 26条膝关节损伤的韧带中,患者膝关节前交叉韧带发生损伤11例,患者后交叉韧带发生损伤3例,患者内侧副韧带发生损伤9例,外侧副韧带损伤3条。单纯关节镜手术时间和出血量分别为(1.20±0.30)h和(156±1.60)ml,MRI后再作关节镜手术时间和出血量分别为(0.66±0.23)h和(62±1.23)ml,P<0.05,两者差异有统计学意义。结论 MRI是诊断膝关节韧带损伤的理想非创伤性检查方法,对关节镜手术有指导意义。
Objective To investigate the diagnostic value of achilles tendon rupture by MR images and compare with joint screen in diagnosing injury of acute knee trauma. Methods 26 cases with acute knee trauma were confirmed ligament injury by operation or joint-screen examination. The ligament injuries included tear and disruption. Results 26 ligaments injuries were found in all cases,including 11 anterior crossing ligament( CL),3 posterior CL,9 medical CL and 3 lateral CL. The time and amount of bleeding of Simple arthroscopic surgery is1. 20 ± 0. 30 h and 156 ± 1. 60 ml,The time and amount of bleeding of Simple arthroscopic surgery after MRI is0. 66 ± 0. 23 h and 62 ± 1. 23 ml. Conclusions MRI is a kind of reliable,noninvasive way for diagnosis1 igament injury in acute knee trauma.
Objective To investigate the diagnostic value of achilles tendon rupture by MR images and compare with joint screen in diagnosing injury of acute knee trauma. Methods 26 cases with acute knee trauma were confirmed ligament injury by operation or joint-screen examination. The ligament injuries included tear and disruption. Results 26 ligaments injuries were found in all cases,including 11 anterior crossing ligament( CL),3 posterior CL,9 medical CL and 3 lateral CL. The time and amount of bleeding of Simple arthroscopic surgery is1. 20 ± 0. 30 h and 156 ± 1. 60 ml,The time and amount of bleeding of Simple arthroscopic surgery after MRI is0. 66 ± 0. 23 h and 62 ± 1. 23 ml. Conclusions MRI is a kind of reliable,noninvasive way for diagnosis1 igament injury in acute knee trauma.
引文
[1]许国星,许国新,康一凡.Leeds-Keio人工韧带在膝关节韧带损伤修复中的有效性和安全性研究[J].中国医药导报,2014,11(3):144-147.
[2]李顶夫,雷益,陆伟,等.前交叉韧带损伤的MRI与关节镜对比研究及其损伤分级[J],海南医学,2010,21(4):1-4.
[3]Eitzen I,Hakestad KA,Risberg MA,et al.Inter-and intrarater reliability of isokinetic thigh muscle strength tests in postmenopausal women with osteopenia[J].Archives of Physical Medicine andRehabilitation,2012,93(3):420-427.
[4]王惠芳,王予彬,朱文辉,等.镜下膝半月板修复与康复的临床研究[C].中华医学会第十三次全国物理医学与康复学学术会议论文集,2011:167-168.
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[6]许杰,徐永胜,吕龙.关节镜和3.0T MRI对膝关节关节软骨损伤诊断的对比研究[J].内蒙古医学杂志,2013,45(3):266-271.
[7]贾岩波,王婧娟,任逸众,等.关节镜下微创治疗膝交叉韧带损伤合并下肢深静脉血栓[J].中国骨与关节损伤杂志,2013,28(6):574-575.
[8]江海燕,杨希宝,黄立成.探讨膝关节韧带损伤的MRI表现及诊断价值[J].中国医药指南,2013,11(35):408-409.
[9]尹京春,林达,黄晓辉,等.膝关节韧带损伤的MRI诊断价值[J].医学影像学杂志,2011,21(3):419-421.
[10]周慧,张惠卿,牛广明.膝关节损伤的MRI诊断研究进展[CD].中华临床医师杂志(电子版),2013,7(15):7128-7130.
[11]郭锡城,高峰,王莉,等.膝关节损伤患者在核磁共振的诊断评价[J].中国医药科学,2013,3(21):114-115.
[12]褚小刚,余兆仲,万小明.关节镜下治疗踝关节前外侧软组织撞击综合征89例[J].江西中医药,2009,19(12):61-63.
[13]刘茂林,徐新超.低场MRI对膝关节损伤诊断价值的评价[J].齐齐哈尔医学院学报,2013,34(15):2210-2211.
[14]潘熙春,牛广明.膝关节韧带损伤的MRI诊断[J].内蒙古医学杂志,2007,39(6):661-662.
[2]李顶夫,雷益,陆伟,等.前交叉韧带损伤的MRI与关节镜对比研究及其损伤分级[J],海南医学,2010,21(4):1-4.
[3]Eitzen I,Hakestad KA,Risberg MA,et al.Inter-and intrarater reliability of isokinetic thigh muscle strength tests in postmenopausal women with osteopenia[J].Archives of Physical Medicine andRehabilitation,2012,93(3):420-427.
[4]王惠芳,王予彬,朱文辉,等.镜下膝半月板修复与康复的临床研究[C].中华医学会第十三次全国物理医学与康复学学术会议论文集,2011:167-168.
[5]徐德鑫,吕涛.关节镜与MRI诊断膝半月板损伤的对比研究[J].中国临床研究,2012,25(5):475-476.
[6]许杰,徐永胜,吕龙.关节镜和3.0T MRI对膝关节关节软骨损伤诊断的对比研究[J].内蒙古医学杂志,2013,45(3):266-271.
[7]贾岩波,王婧娟,任逸众,等.关节镜下微创治疗膝交叉韧带损伤合并下肢深静脉血栓[J].中国骨与关节损伤杂志,2013,28(6):574-575.
[8]江海燕,杨希宝,黄立成.探讨膝关节韧带损伤的MRI表现及诊断价值[J].中国医药指南,2013,11(35):408-409.
[9]尹京春,林达,黄晓辉,等.膝关节韧带损伤的MRI诊断价值[J].医学影像学杂志,2011,21(3):419-421.
[10]周慧,张惠卿,牛广明.膝关节损伤的MRI诊断研究进展[CD].中华临床医师杂志(电子版),2013,7(15):7128-7130.
[11]郭锡城,高峰,王莉,等.膝关节损伤患者在核磁共振的诊断评价[J].中国医药科学,2013,3(21):114-115.
[12]褚小刚,余兆仲,万小明.关节镜下治疗踝关节前外侧软组织撞击综合征89例[J].江西中医药,2009,19(12):61-63.
[13]刘茂林,徐新超.低场MRI对膝关节损伤诊断价值的评价[J].齐齐哈尔医学院学报,2013,34(15):2210-2211.
[14]潘熙春,牛广明.膝关节韧带损伤的MRI诊断[J].内蒙古医学杂志,2007,39(6):661-662.