彩色多普勒超声诊断膝关节滑膜炎的临床价值

目的:探讨彩色多普勒超声对膝关节滑膜炎的声像图特点及其临床诊断价值.方法:回顾性分析我院79例诊断为膝关节滑膜炎患者,分析彩超检查声像图特点,并与膝关节X线平片及磁共振(MRI)作比较.结果:在滑膜厚度、滑膜形态、关节腔积液、软骨病变等方面彩超检查具有良好的分辨率,检出率分别为92.22％、86.67％、83.33％、40.00％,与膝关节X线平片比较,均有统计学差异(P＜0.05);与膝关节MRI比较,均无统计学差异(P＞0.05).结论:彩超对于膝关节滑膜炎的诊断具有较好的临床价值,值得推广.

Clinical value of color doppler ultrasonic diagnosis in gonarthromenigitis

Objective：To analyze the clinical application value of gonarthromenigitis by color doppler ultrasonic diagnosis and to conclude the characters of gonarthromenigitis ultrasonography.Methods：A total of 79 patients with gonarthromenigitis diagnosised by color doppler ultrasound in our hospital were collected to retrospective analysis.The characters of gonarthromenigitis ultrasonography were analyzed and compared to knee X-ray graphy and knee MRI graphy.Results：In detecting the changes of synovial hypertrophy,synovial morphology,arthroedema,knee cartilage affection,the ultrasonography had satisfactory resolution power.The detection rates of above changes by ultrasonography were 92.22%,86.67%,83.33%,40.00% respectively.The difference of detection rates between ultrasonography and X-ray graphy was significant（P0.05）,yet the difference between ultrasonography and MRI graphy was no significant（P0.05）.Conclusion：Color doppler ultrasonography was useful in the diagnosis of gonarthromenigitis,and was worth widing clinical application.