膝关节病变的磁共振成像与关节镜检查结果的相关性

O. Russu, Andrei-Marian Feier, Emilian Ciorcila, G. Miler, C. Trâmbițaș, P. Borodi
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引用次数: 0

摘要

背景:磁共振成像(MRI)是一种无创的诊断方法,无已知的副作用,对半月板病变以及前后交叉韧带病变具有很高的灵敏度。为了正确和完整的诊断,MRI结果必须在临床检查和记忆的背景下解释。MRI结果可以支持关节镜手术指征,这是一种微创干预,有助于观察、调查、诊断和治疗膝关节关节内病变。本研究的目的是评估MRI结果与关节镜检查到的关节内病变之间的相关性。材料和方法:本回顾性研究评估了2013年1月1日至2014年1月1日在罗马尼亚穆列涅斯县医院骨科和创伤科门诊收治的60例患者。结果:43例前交叉韧带病变中,MRI显示病变40例(93%),关节镜证实病变37例(86%)。34例(占43例总数的79.1%)MRI与关节镜检查结果相似,Kappa系数显示高度相关(0.90)。结论:通过评估Kappa系数来突出MRI结果与关节镜诊断膝关节损伤的相关性,发现两种方法之间存在统计学相关性。这表明两种方法都可以得到正确的诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correlation between Magnetic Resonance Imaging and Arthroscopic Findings in Knee Lesions
Abstract Background: Magnetic resonance imaging (MRI) is a noninvasive diagnostic method with no known side effects and a high sensitivity for detecting meniscal lesions as well as lesions of the anterior and posterior cruciate ligaments. For a correct and complete diagnosis, MRI results must be interpreted in the context of clinical examination and anamnesis. MRI results can support the surgical indication for arthroscopy, which is a minimally invasive intervention that facilitates the visualization, investigation, diagnosis, and treatment of intra-articular lesions of the knee. The purpose of this study was to assess the correlation between MRI results and the intra-articular lesions detected arthroscopically. Material and methods: This retrospective study evaluated a total of 60 patients admitted and treated between January 1, 2013 and January 1, 2014 in the Clinic of Orthopedics and Traumatology of Mureș County Hospital, Târgu Mureș, Romania. Results: In the 43 patients with lesion of the anterior cruciate ligament, the lesions were seen on MRI in 40 patients (93%) and confirmed arthroscopically in 37 patients (86%). In 34 cases (79.1% of the total of 43), the MRI and arthroscopic results were similar, the Kappa coefficient showing a high degree of correlation (0.90). Conclusion: By assessing the Kappa coefficient to highlight the correlation between MRI results and arthroscopic diagnosis for knee injuries, a statistically relevant correlation between the two methods was found. This suggests that a correct diagnosis can be achieved by both methods.
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