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膝半月板和关节软骨损伤应用CT与MRI诊断临床效果分析
引用本文: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, 0(2): 116-118. DOI: 10.3969/j.issn.1672-5131.2017.02.036
作者姓名:赖智民
作者单位:广东省佛山市中医院三水医院放射科 广东 佛山 528100
基金项目:广东省自然科学基金(10151008004000007)
摘    要:目的比较与分析CT与MRI用于膝半月板和关节软骨损伤的诊断价值,从而为患者临床诊断、治疗提供一定参考。方法将我院所收治的100例患者(其中关节软骨损伤100个,半月板损伤98个)作为本次研究对象,分别应用MRI与CT检查,以关节镜检查为金标准,统计两组临床检出率。结果经研究发现,MRI组的软骨损伤Ⅳ期及半月板损伤Ⅲ级检出率明细高于CT组,差异显著具有统计学意义(P0.05);然MRI临床检出率与关节镜组相比较,差异无统计学意义(P0.05);然CT组软骨损伤Ⅳ期及半月板损伤Ⅲ级检出率明细低于关节镜检出率,差异显著具有统计学意义(P0.05)。结论应用MRI用于临床诊断膝半月板和关节软骨损伤具有较高价值,尤其是检测软骨损伤Ⅳ期及半月板损伤Ⅲ级。

关 键 词:软骨损伤  半月板损伤  MRI  CT  关节镜

Knee Meniscus and Articular Cartilage Injury of CT and MRI Diagnostic Analysis of Clinical Results
Abstract:Objective Comparison and analysis of CT and MRI diagnostic value for the knee meniscus and articular cartilage damage, so patients for clinical diagnosis and treatment provide a reference. Methods A total of 100 patients in our hospital were taken as the clinical research objects (100 of which joint cartilage injury, meniscal 98). MRI and CT were applied to arthroscopy as the gold standard statistical groups clinical detection rate. Results The study found cartilage damage and meniscal Ⅲ Ⅳ grade of MRI detection rate is higher than the CT group detail group, significant difference was statistically significant (P<0.05). however clinical MRI detection rate and arthroscopic group compared to no significant difference (P>0.05). however CT group and meniscal cartilage injury ⅳ ⅲ level of detail below the detection rate arthroscopy out rate, a significant difference was statistically significant (P<0.05). Conclusion MRI for clinical diagnosis of the knee meniscus and articular cartilage damage with a higher value, especially the detection of cartilage damage and meniscal tearⅢⅣgrade.
Keywords:Cartilage Injury  Meniscal  MRI  CT  Arthroscopic
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