比较X 线平片、超声和MR 对膝关节软骨退行性病变的诊断价值.docVIP

精品论文 参考文献 比较X 线平片、超声和MR 对膝关节软骨退行性病变的诊断价值 张绪翠 华 冰 曲宝俊 　　山东莱芜市人民医院 山东莱芜 271100 　　【摘 要】目的：探讨比较X线平片、超声与MR对膝关节软骨退行性病变的诊断价值。方法：随机选择2012年10月~2013年10月在我院治疗的膝关节软骨退行性病变患者40例，拟行关节置换术或关节镜术41个，术前，经超声、X线平片检查股骨外髁、内髁，以及滑车正中沟、外侧斜面与内侧斜面，共205个关节面。其中，接受MR检查膝关节11个，与置换术或关节镜对比分析，并比较3中检查手段的水平。结果：X线平片诊断关节软骨退行性病变敏感性、特异性及准确性分别为46.3、75%及58.5%，超声诊断的上述指标依次为64.9%、92%及76.5%，而MR诊断分别为79.4%、86.2%及82.5%，超声诊断敏感性、准确性高于X线平片、低于MR，不过特异性高于MR。结论：在膝关节软骨退行性病变检查中，超声的诊断水平略低于MR，不过由于X线平片，值得作为初步检查手段应用。 　　【关键词】X线平片；超声检查；MR；膝关节软骨；病变 　　【中图分类号】R684 【文献标识码】B 【文章编号】1764-8999（2015）7-0510-02 　　【Abstract】Objective: to study the comparative X-ray plain film, ultrasonic and MR value to the diagnosis of knee joint cartilage degenerative diseases. Methods: randomly selected in October 2012 to October 2013 in our hospital treatment of 40 patients with knee joint cartilage degenerative diseases, quasi joint replacement or 41 arthroscopic surgery, preoperative, by ultrasonic, X-ray plain film examination within the lateral femoral condyle, condyle, cant as well as the center of the pulley groove, the lateral and medial cant, a total of 205 joint surface. Examined for MR knee 11, with replacement or arthroscopy comparison and analysis, and compare the level of 3 tests. Results: X-ray plain film in the diagnosis of articular cartilage degenerative diseases sensitivity, specificity and accuracy of 46.3, 75% and 58.5%, respectively, and the ultrasonic diagnosis of the above indicators, in turn, 64.9%, 92% and 76.5%, while MR diagnosis were 79.4%, 86.2% and 79.4% respectively, the ultrasonic diagnostic sensitivity, higher accuracy than X-ray plain film and less than MR, but the specificity is higher than MR. Conclusion: in knee joint cartilage degenerative diseases, the diagnosis of ultrasound is slightly lower than MR, but due to the X-ray plain film, worth as a means of preliminary inspection application. 　　【Key words】X-ray plain film; Ultrasonic examination; MR. The knee joint cartilage. lesions 　　在临床诊断中，检查膝关节软骨 退行