摘要
目的探讨MRI技术在诊断踝关节外侧韧带损伤的有效性。方法应用Meta分析。检索3个中文数据库(中国期刊全文数据库、万方数据库、中文科技期刊数据库)和3个英文数据库(Pub Med、EMbase、The Cochrane Library)进行相关研究。检索年限均为从建库至2018-11。总结了符合条件的研究,提取数据以计算磁共振成像(MRI)在诊断踝关节外侧韧带损伤时的灵敏度和特异度。结果 16项研究符合纳入,包括660例患者。MRI诊断急性距腓前韧带损伤的合并敏感度为0. 93[95%CI(0. 86,0. 97)],合并特异度为0. 55[95%CI (0. 27,0. 80)]。诊断慢性距腓前韧带损伤的合并敏感度为0. 86[95%CI(0. 77,0. 91)],合并特异度为0. 80[95%CI(0. 67,0. 89)]。诊断急性跟腓韧带损伤的合并敏感度为0. 72[95%CI(0. 58,0. 82)],合并特异度为0. 86[95%CI(0. 68,0. 95)]。诊断慢性跟腓韧带损伤的合并敏感度为0. 57[95%CI(0. 44,0. 69)],合并特异度为0. 92[95%CI(0. 86,0. 96)]。结论 MRI检查在诊断慢性距腓前韧带损伤时的诊断效能较高。诊断急性距腓前韧带损伤时,MRI检查可以有效筛选ATFL损伤患者。在诊断急慢性跟腓韧带损伤时,其阴性结果对排除跟腓韧带损伤有一定的参考价值。
Objective To investigate the effectiveness of magnetic resonance imaging( MRI) in diagnosing lateral ankle ligament injury by meta-analysis. Methods Such databases as Chinese Journal Full-text Database,Wanfang Database,Chinese Science and Technology Database,Pub Med,EMbase and the Cochrane Library were searched from inception to November 2018. Eligible studies were summarized. Data was extracted to calculate the pooled sensitivity and specificity of MRI in the diagnosis of lateral ankle ligament injury. Results Sixteen studies met the inclusion criteria and a total of 660 participants were included. The pooled sensitivity of MRI in diagnosing acute ATFL injury was 0. 93 [95% CI( 0. 86,0. 97)],and the specificity was 0. 55 [95% CI( 0. 27,0. 80)].The pooled sensitivity in diagnosing chronic ATFL injury was 0. 86 [95% CI( 0. 77,0. 91)],and the specificity was 0. 80[95% CI( 0. 67,0. 89)]. The pooled sensitivity in diagnosing acute CFL injury was 0. 72 [95% CI( 0. 58,0. 82)],and the specificity was0. 86 [95% CI( 0. 68,0. 95)]. The pooled sensitivity in diagnosing chronic CFL injury was 0. 57 [95% CI( 0. 44,0. 69)],and the specificity was 0. 92 [95% CI( 0. 86,0. 96)]. Conclusions MRI can serve as an effective and feasible method in diagnosing chronic ATFL injuries. MRI can effectively screen patients with ATFL injury. In the diagnosis of CFL injury,acute or chronic,the negative results are of some value for the exclusion of CFL injury.
作者
董辉
刘数敬
陆广旭
任兴宽
王文良
DONG Hui;LIU Shujing;LU Guangxu;REN Xingkuan;WANG Wenliang(Logistics University of Chinese Peopies Armed Police Force, Tianjin 300309,China;Health Company of Army 32134, Tianjin 301900,China;Department of Orthopedics ,Featured Medical Center of Chinese Peoples Armed Police Force, Tianjin 300162 ,China;Tianjin University of Traditional Chinese Medicine, Tianjin 300162, China)
出处
《武警医学》
CAS
2019年第3期200-204,共5页
Medical Journal of the Chinese People's Armed Police Force
关键词
踝关节外侧韧带
核磁共振检查
META分析
lateral ankle ligament injury
magnetic resonance imaging MRI
meta-analysis
