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膝关节充气CT扫描影像学与临床意义的研究
引用本文:蒋曰生,沈炳华,初亚东,车燕,李文乐,刘忠光,张保正.膝关节充气CT扫描影像学与临床意义的研究[J].中国骨与关节损伤杂志,1997(5).
作者姓名:蒋曰生  沈炳华  初亚东  车燕  李文乐  刘忠光  张保正
作者单位:山东烟台市烟台山医院骨科!264001(蒋曰生,沈炳华,初亚东,车燕),山东烟台市烟台山医院医学影像科(李文乐,刘忠光,张保正)
摘    要:作者通过尸体膝关节标本和56例经一般检查长期诊断不明的膝关节痛病人的112个膝关节(健侧45,患侧67)充气4kPa CT扫描,对尸体标本扫描后解剖,对病人有手术指征关节中的56个关节手术探查,然后与CT对照,初步确定了膝关节充气条件下的正常CT解剖和某些异常影像的临床意义。证明膝关节充气CT扫描能使一般X线和CT扫描不易发现的某些病变获得可靠的影像诊断依据,特别对滑膜皱襞综合征、滑膜肿瘤、滑膜炎等许多滑膜疾病具有重要诊断价值。56个关节手术证实其诊断符合率91%。

关 键 词:膝关节病  关节充气造影  CT扫描

The Study of Image and Clinical Significance of the Pneumoarthrography of Knee with CT
Jiang Yuesheng,Shen Binghua,Li Wenle,et al..The Study of Image and Clinical Significance of the Pneumoarthrography of Knee with CT[J].Chinese Journal of Bone and Joint Injury,1997(5).
Authors:Jiang Yuesheng  Shen Binghua  Li Wenle  
Institution:Jiang Yuesheng,Shen Binghua,Li Wenle,et al. Department of orthopaedics,Yan Tai Shan hospital of Yantai city,Shandong province,264001
Abstract:A knee of cadaver and 112 knees (45 were healthy and 67 were sick) in 56 patients were studied with pneu-moarthrography with CT. The patients had a gonalgia and an acatalepsy commonly examined for a long time. After the scanning, the specimen was anatomied and 56 knees which had the indication for operation were operated on. By means of the comparison with CT, the clinical meaning of normal and some abnormal images were clarified. It has certified that the pneumoarthrography with CT can get the reliable image ground for some diseases which cannot be found out by common X - ray and CT, such as synovial plica syndrome, synovioma, synovitis and etc. The results of the operation in 56 knees have confirmed that the coincidental rate of diagnosis was 91 % .
Keywords:Knee disease  Pneumoarthrography  CT  
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