摘要
目的研究并比较多排螺旋CT联合MRI诊断踝关节外侧韧带损伤的效果。方法选取2017年6月至2018年3月我院收治的踝关节外侧韧带损伤患者96例,经过关节镜或手术确诊。根据检查方法不同将患者分为多排螺旋CT联合MRI组以及MRI组两组,每组各48人。MRI组患者采用核磁共振成像进行诊断,联合组同样采用核磁共振成像技术,并在此基础上联合使用多排螺旋CT进行诊断。对比观察采用不同的检查方法,对于踝关节外侧单条韧带损伤(单纯距腓前韧带、单纯跟腓韧带、距腓后韧带损伤、距腓前韧带同时合并跟腓韧带)的检出率的情况;对比观察两种检查方法对于踝关节复合损伤,如关节腔积液、肌腱损伤、骨挫伤、骨折碎片的检出情况;比较两种检查方法对于韧带损伤分级的准确率情况。结果联合组检测踝关节外侧韧带损伤的检出率为93.75%,MRI组检出率为77.08%,联合组检出率高于MRI组(P<0.05);联合组对于骨挫伤的检出率高于MRI组(P<0.05);两种检查方法对于关节腔积液、肌腱损伤、骨折碎片的检出情况差异无统计学意义(P>0.05);联合组及MRI组对韧带损伤程度的分级评估效果差异无统计学意义(P>0.05)。结论多排螺旋CT联合MRI诊断踝关节外侧韧带损伤效果较好,对于踝关节复合损伤的检出率较高,值得在临床推广及应用。
Objective To study and compare the effect of MSCT combined with MRI in the diagnosis of ankle lateral ligament injury. Methods A total of 96 cases of ankle lateral ligament injuries admitted to our hospital from June 2017 to March 2018 were selected and confirmed by arthroscopy or surgery. According to different examination methods, patients were divided into MSCT combined MRI group and MRI group, with 48 patients in each group. The patients in group MRI were diagnosed by MRI, and the combined group was also used for MRI, and on this basis, MSCT was used for diagnosis. The detection rate of the unilateral ligaments of the lateral peroneal ligament, the simple peroneal ligament, the posterior peroneal ligament injury, the anterior peroneal ligament combined with the peroneal ligament, and the two methods for the combined injury of the ankle joint, such as the effusion of the articular cavity, were compared. Detection of tendon injuries, bone contusion, fracture fragments, and comparison of the accuracy of two methods for classification of ligament injuries had been done. Results The detection rate of the lateral ankle ligament damage detected by the combined group was 93.75%, the detection rate in the MRI group was 77.08%, the detection rate in the combined group was higher than that in the MRI group (P<0.05), and the detection rate of the bone contusion in the joint group was higher than that of the group MRI (P<0.05) There was no difference between the two methods for the detection of the joint cavity effusion, tendon injury and fracture fragments.(P>0.05);the combined group and MRI group had no statistically significant difference in the degree of ligament injury assessment (P>0.05). Conclusion MSCT combined with MRI is better in diagnosis of lateral ankle ligament injury, and it has high detection rate for ankle joint injury. It is worth popularizing and applying in clinical practice.
作者
陈健
陈菲
高勇
郭丽玲
吴萱泽
丁贤友
杨丽秀
徐文婷
万雷
CHEN Jian;CHEN Fei;GAO Yong;GUO Liling;WU Xuanze;DING Xianyou;YANG Lixiu;XU Wenting;WAN Lei(Department of Radiology,Shanghai Construction Hospital,Shanghai 200083,China;Department of Orthopaedics,Shanghai Construction Hospital,Shanghai 200083,China;Shanghai key Laboratory of Forenscl Medicine,Academy of Forensic Science,Shanghai 200063,China)
出处
《中国医疗设备》
2019年第3期64-67,共4页
China Medical Devices
基金
国家自然科学基金项目(81401559)
关键词
多排螺旋CT
核磁共振成像
踝关节外侧韧带损伤
multi-slice spiral CT
magnetic resonance imaging
lateral ankle ligament injury
