MRI 与关节镜在诊断半月板撕裂方面的比较:比较研究

Rajesh Sajjanshetty, Rohit Ranjolkar
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摘要

尽管磁共振成像(MRI)已被广泛应用,但其对半月板撕裂的诊断准确性尚未得到充分研究。我们希望通过核磁共振成像结果与关节镜检查结果的对比,来衡量核磁共振成像的诊断准确性。 调查前交叉韧带和半月板撕裂的发生率;通过计算特异性、敏感性、阳性预测值和阴性预测值(关节镜检查备受推崇),建立关节镜检查和核磁共振成像结果之间的相关性;对半脱位程度进行分级;确定膝关节内应存在的最小积液量。2021-2022 年,对 40 名年龄介于 20 岁至 40 岁之间的患者的核磁共振成像和 12 项关节镜相关检查进行了评估。以百分比形式计算了敏感性、特异性、PPV 和 NPV。对于 MM,ACL 结果分别为 87.87、81.57、80.55 和 88.57,而对于 LM,则分别为 77.77、81.81、72.41 和 85.71。一名患者出现胫骨前脱位,占所有病例的 35.6%。201例患者的髌上袋出现横向内部断裂,可见关节积液。由于术前磁共振成像的诊断准确性有限,因此前交叉韧带损伤患者在关节镜检查时应仔细评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
MRI vs arthroscopy in the diagnosis of meniscal tears: A comparative study
The diagnostic accuracy of magnetic resonance imaging (MRI) for meniscal tears has not been adequately investigated, although it has been utilized extensively. By contrasting MRI results with arthroscopy findings, we hoped to gauge MRI's diagnostic precision.   Investigating the incidence of ACL and meniscal tears; establishing a correlation between arthroscopy and MRI findings by calculating the specificity, sensitivity, positive and negative predictive values (with arthroscopy highly esteemed); grading the degree of subluxation; and ascertaining the minimal quantity of fluid that ought to be present in the knee. The MRI of forty patients in the age range of twenty to forty years old and twelve arthroscopic correlations was evaluated in the year 2021-2022. In percentage form, the sensitivity, specificity, PPV, and NPV were calculated. For MM, the ACL results were 87.87, 81.57, 80.55, and 88.57, whereas for LM, they were 77.77, 81.81, 72.41, and 85.71. One patient had anterior tibial subluxation, which accounted for 35.6% of all cases. Joint fluid was seen in 201 cases when the suprapatellar pouch appeared laterally with internal disruption. Patients with ACL injuries should be carefully evaluated during arthroscopy since preoperative MRI has a limited diagnostic accuracy.
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