超声与MRI诊断膝关节半月板损伤的比较

Ibrahem Elsayed Abuomira, Y. Ahmed, Mohamed Taha Abd Elshahat
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引用次数: 0

摘要

背景与目的半月板撕裂是影响运动员和正常人膝关节最常见的疾病之一。MRI是膝关节成像的首选,但近年来,由于成像质量的提高,超声(US)在肌肉骨骼疾病的成像方面取得了长足进步。本研究旨在与MRI相比,探讨超声在半月板撕裂诊断中的作用。患者与方法对100例患者进行膝关节高清晰度超声及低分辨率MRI检查。结果与MRI相比,US的诊断性能达到了灵敏度(89.1%)、特异性(~72.2%)、阳性预测值(~90.1%)、阴性预测值(70.1%),结论超声检查可作为关节镜检查前的一种筛查工具,在某些情况下,MRI是禁忌症或不可用或患者负担不起。超声检查显示了半月板的动态图像,因此如果结合正确的临床检查进行研究,可能会证明是有用的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison between ultrasonography and MRI in diagnosis of knee joint meniscal injuries
Background and Aim Meniscal tears are one of the most frequent disorders affecting the knee joint in athletes and normal people. MRI the first choice of imaging of knee joint but in recent days, ultrasound (US) has made strides in imaging of musculoskeletal disorders due to improvement of imaging qualities. This study aimed to investigate the role of US in diagnosis of meniscus tears as compared to MRI. Patients and Methods A total of 100 patients examined by high definition US and under go to MRI examination of the knee joint. Results Regarding the diagnostic performance of US compared to MRI, the sensitivity reached (89.1%), specificity (∼72.2%), positive predictive value (∼90.1%), negative predictive value (70.1%), and accuracy (84.7%). Conclusion Ultrasonography may be used as a screening tool before arthroscopy in selected cases where MRI was a contraindication or is not available or if the patient was not affording. Ultrasonography showed a dynamic image of the meniscus and thus may prove useful if studied in conjunction with correct clinical examination.
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