| 李楠,王志利,徐丹凤,焦嫣,尚瑞松.动态超声联合3.0T MRI诊断膝关节滑膜皱襞及其分型[J].中国医学影像技术,2024,40(2):275~279 |
| 动态超声联合3.0T MRI诊断膝关节滑膜皱襞及其分型 |
| Dynamic ultrasound combined with 3.0T MRI for diagnosing and typing of synovial plica of knee joint |
| 投稿时间：2023-04-26 修订日期：2023-11-01 |
| DOI：10.13929/j.issn.1003-3289.2024.02.025 |
| 中文关键词: 膝关节 关节囊 超声检查 磁共振成像 |
| 英文关键词:knee joint joint capsule ultrasonography magnetic resonance imaging |
| 基金项目:河北省医学科学研究课题计划（20232183）。 |
|
| 摘要点击次数: 420 |
| 全文下载次数: 265 |
| 中文摘要: |
| 目的 探讨动态超声联合3.0T MRI诊断膝关节滑膜皱襞及其分型的价值。方法 回顾性分析100例疑诊膝关节滑膜皱襞患者动态超声及3.0T MRI资料，以关节镜检查结果为标准，比较2种影像学方法单独及联合诊断膝关节滑膜皱襞的效能，对比其单独及联合测量的滑膜皱襞长度和厚度与关节镜结果的差异，分析其判断滑膜皱襞位置及分型与关节镜的一致性。结果 共检出70例膝关节滑膜皱襞，其中11例位于髌上、15例位于髌下、30例位于髌内侧、14例位于髌外侧，包括A型9例、B型35例、C型23例及D型3例。单一动态超声与3.0T MRI诊断膝关节滑膜皱襞的敏感度差异无统计学意义（P>0.05），均低于二者联合（P均<0.05）。单一动态超声及3.0T MRI所测膝关节滑膜皱襞长度及厚度均低于二者联合及关节镜测量结果（P均<0.05），二者联合与关节镜测量结果差异均无统计学意义（P均>0.05）。单一动态超声、3.0T MRI及二者联合评估膝关节滑膜皱襞位置（Kappa=0.755、0.826、0.897）及分型（Kappa=0.721、0.744、0.860）均与关节镜结果高度一致。结论 动态超声联合3.0T MRI对诊断膝关节滑膜皱襞及判断其分型具有较高价值。 |
| 英文摘要: |
| Objective To explore the value of dynamic ultrasound combined with 3.0T MRI for diagnosing and typing synovial plica of knee joint. Methods Dynamic ultrasound and 3.0T MRI data of 100 patients with suspected synovial plica of knee joint were retrospectively analyzed. Taking the results of arthroscopy as standards, the efficacy of dynamic ultrasound and 3.0T MRI alone and their combination for diagnosing synovial plica of knee joint were evaluated and compared. The length and thickness of synovial plica of knee joint measured with dynamic ultrasound, 3.0T MRI alone and their combination were compared with those of arthroscopy, and the consistencies of the location and classification of synovial plica of knee joint with arthroscopy were analyzed. Results Synovial plica was detected in 70 cases, including 11 cases of supropatellar synovial plica, 15 cases of infrapatellar synovial plica, medial patellar in 30 cases and lateral patellar synovial plica in 14 cases, among them type A, B, C and D were classified in 9, 35, 23 and 3 cases, respectively. No significant difference of sensitivity was found between dynamic ultrasound and 3.0T MRI alone for diagnosing synovial plica of knee joint (P>0.05), which were both lower than that of their combination (both P<0.05). The length and thickness of knee synovial plica measured with dynamic ultrasound and 3.0T MRI alone were lower than those measured with their combination and arthroscopy (all P<0.05), and there was no significant difference between the results of their combination and arthroscopy (both P>0.05). Dynamic ultrasound, 3.0T MRI alone and their combination had high consistency of location (Kappa=0.755, 0.826, 0.897) and classification of knee synovial plica with those of arthroscopy (Kappa=0.721, 0.744, 0.860). Conclusion Dynamic ultrasound combined with 3.0T MRI was valuable for diagnosing and typing of synovial plica of knee joint. |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
|
|
