摘要
目的:探讨1.5T磁共振在诊断膝关节隐匿性骨折中的应用价值。方法:回顾性分析67例膝关节外伤患者的临床资料及影像资料,患者均有明确膝部外伤病史,常规行X线检查,并于1周内进行MRI检查。结果:67例患者中,MRI检查均为阳性,X线检查均为阴性结果。MRI检查结果显示膝关节组成骨的骨髓腔、骨皮质及关节软骨内均可出现片状及网格状异常信号影。67例中表现为Ⅰ型40例,Ⅱ型15例,Ⅲ型12例。结论:MRI对诊断膝关节隐匿性骨折具有很高的价值,对于膝关节外伤的患者,在X线检查为阴性的情况下不能武断的认为膝关节骨质正常,要结合患者临床情况,必要时进行MRI检查来确诊有无隐匿性骨折。
Objective:To discuss the application value of 1.5 nuclear magnetic resonance imaging in diagnosing occult fracture of knee-joint.Method:Retrospective analysis of clinical and imaging data of 67 patients with knee trauma;patients all had a clear history of knee trauma and were performed routine X-ray examination and MRI examination within 1 week.Results:Among the 67 cases,all the MRI results were positive,and all X-rays were negative.The results of MRI examination showed that there were abnormal signals of patchy and grid-like signals in the marrow cavity,cortical bone and arthrodial cartilage of the knee-joint.TypeⅠ(40 cases),typeⅡ(15 cases),and typeⅢ(12 cases)had been observed.Conclusion:MRI is proved very valuable for diagnosing occult fractures of the knee-joint.For patients who have knee trauma,if the X-ray examination is negative,the sclerotin of the knee-joint cannot be arbitrarily considered normal.If necessary,MRI examination should be intended to confirm the presence of occult fractures on the basis of the actual condition of the patient.
作者
丁亮
张敏
龙飞翔
刘建光
唐佶颖
DING Liang;ZHANG Min;LONG Fei-xiang(Xuancheng City People's Hospital,Xuancheng 242000,Anhui)
出处
《安徽卫生职业技术学院学报》
2019年第1期32-33,35,共3页
Journal of Anhui Health Vocational & Technical College
关键词
核磁共振
膝关节
隐匿性骨折
Nuclear Magnetic Resonance
Knee-joint
Occult Fracture
