摘要
背景:膝关节作为人体最大而最复杂的关节,其滑膜和软骨疾病是长期困扰患者的常见病之一,但是超声诊断与临床医生常受到一图多病或一病多图的困惑。目的:回顾膝关节软骨及滑膜病变超声诊断的误诊病例,总结出它们常见误区及鉴别思路。方法:通过对2002年至2014年在膝关节软骨及滑膜病变超声诊断的误诊病例进行系统回顾分析,归纳总结其常见误区及相应的鉴别思路和方法。结果与结论:高频超声在膝关节软骨及滑膜病变上有6个方面最易产生"误区":1软骨退行性改变。2滑膜钙化。3滑膜病变回声强度。4滑膜血流情况。5滑囊积液。6累及膝关节内其他结构。高频超声通过动态及双侧对比观察膝关节病变,警惕"误区",掌握鉴别思路和方法,是诊断软骨及滑膜疾病的一种很有价值影像学方法。
BACKGROUND： The knee joint acts as the body＇s largest and most complex joint, which is a commonly seen perplex in patients because of synovium and cartilage diseases. Moreover, clinical physicians are often confused on the ultrasonic diagnosis of synovium and cartilage diseases. OBJECTIVE： To review the ultrasound misdiagnosed cases of knee cartilage and synovial lesions and to summarize the common misconceptions and discrimination methods. METHODS： A retrospective analysis was performed in the ultrasound misdiagnosed cases of knee cartilage and synovial lesions reported from 2002 to 2014, and then the common misconceptions and corresponding identification methods were summarized.RESULTS AND CONCLUSION： High-frequency ultrasound is most likely to have six ＂mistaken ideas＂ addressing knee cartilage and synovial lesions： （1） cartilage degeneration; （2） synovial calcification; （3） echo intensity from synovial lesions; （4） blood flow in the synovium; （5） synovial effusion; （6） lesions involving intraarticular structures High-frequency ultrasound runs through dynamical observation and contrast observation of bilateral knee joint lesions, which is a valuable imaging method for diagnosis of cartilage and synovial diseases based on vigilance at the ＂mistaken ideas＂ and mastery of the distinguishing ideas and methods.
出处
《中国组织工程研究》
CAS
北大核心
2015年第15期2436-2441,共6页
Chinese Journal of Tissue Engineering Research
