关节镜与MRI诊断膝关节韧带损伤的对照研究

目的对比关节镜与MRI检查膝关节韧带损伤的精准率,评价临床应用效果。方法选取膝关节韧带损伤患者52例,进行关节镜及手术前先采用MRI诊断技术进行检查,检查后的7d~6个月内进行关节镜检查或手术,将两次诊断的结果进行对比。结果 MRI诊断与关节镜及手术损伤程度的符合率:前交叉韧带为93.5%,后交叉韧带为100%,外侧副韧带为90.6%,内侧副韧带为88.5%,关节镜及手术对比诊断的符合率为93.1%。结论膝关节韧带损伤的诊断检查采用MRI诊断技术,具有精准率高、无创、安全、方便等优势,临床应用效果满意。

Comparison of arthroscopy and MRI diagnosis for knee ligament injury

Objective To compare the precise rate of knee ligament injury by arthroscopy and MRI examination to e-valuate the clinical effect.Methods 52 cases of knee ligament injury were selected.MRI diagnostic techniques was used to inspect these cases before surgery and arthroscopy,and then arthroscopic examination or surgery 7d-6 months after the inspection,the results of two diagnostic were compared.Results Comparison results of MRI diag-nosis technology and arthroscopic surgery was as follow：the extent of damage consistent rate：anterior cruciate liga-ment （ACL）was 93.5%,posterior cruciate ligament （PCL）was 100%,the lateral collateral ligament （LCL）was 90.6%,medial collateral ligament （MCL）was 88.5%,compliance rate of comparison arthroscopic diagnosis and surgery was 93.1%.Conclusions Knee joint ligament injury diagnostic test using MRI diagnostic technology,has advantages of high precision,non-invasive,safe,convenient,satisfactory clinical effect.