| 膝关节退行性骨关节病的MR诊断 |
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| 引用本文： | 王继琛 蒋学祥. 膝关节退行性骨关节病的MR诊断[J]. 中华放射学杂志, 1996, 30(2): 124-127 |
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| 作者姓名： | 王继琛 蒋学祥 |
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| 作者单位： | 北京医科大学第一临床医学院医学影像科 |
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| 摘 要： | 目的：研究ＭＲＩ对诊断膝关节退行性骨关节病的能力和意义。材料和方法：分析３７例３８个膝关节退行性骨关节病的ＭＲＩ表现，并与平片、关节镜或手术结果进行对照。结果：ＭＲＩ能较为准确地显示骨关节病的关节软骨、半月板、韧带、滑膜、游离体及骨质的改变，明显优于平片，与关节镜检查结果基本一致，且能显示关节镜不易发现的软骨、半月板的早期退变。结论：由于ＭＲＩ信号特点与关节镜和病理分级结果一致，这就为术前正确诊断及手术方案的制定提供了确切的依据。
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| 关 键 词： | 骨关节病.继发性肥大性 磁共振成像 |
EvaluationofMRimaginginthediagnosisofdegenerativeosteoarthritisinthekne |
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| WangJichen,JiangXuexiang,GaoYujie. EvaluationofMRimaginginthediagnosisofdegenerativeosteoarthritisinthekne[J]. Chinese Journal of Radiology, 1996, 30(2): 124-127 |
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| Authors: | WangJichen JiangXuexiang GaoYujie |
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| Affiliation: | WangJichen,JiangXuexiang,GaoYujie.DepartmentofRadiology,theFirstClinicalMedicalColege,BeijingMedicalUniversity,Beijing100034 |
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| Abstract: | Purpose:ToevaluateMRimaginginthediagnosisofdegenerativeosteoarthritisinthekneeanditsclinicalsignificance.MaterialsandMethods:MRimagingwasperformedin38casesofdegenerativeosteoarthritisoftheknee,theresultswerecomparedwithplainfilmarthroscopyoroperation.Results:MRimagingcouldclearlydemonstratealthelesionsindegenerativearthrosis,includingdenudedarticularcartilage,tornanddegenerativemeniscalfibrocartilage,chronicinjuriesofcruciateligaments,synovitis,loosebodies,osteophyteandsubchondralsclerosis.ThediagnosticacuracyofMRimagingwassimilartothatofarthroscopyandsuperiortothatofradiography.MRimagingwasalsoabletodetectearlydegenerativelesionsofarticularcartilageandmeniscushardlydetectablebyotherexaminationmethods.Conclusion:PathologicstagingandMRgradingsystemforthisdiseasehaveagoodpositiverelevance.TheauthorsrecommendedMRimagingtobethemodalityofchoiceforevaluationofdegenerativeosteoarthritis. |
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| Keywords: | Osteoarthropathy secondaryhypertrophicMagneticresonanceimaging |
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