摘要
目的 以髋关节磁共振(magnetic resonance imaging, MRI)测量数据为参考,对比分析超声(ultrasonic, US)测量盂唇大小的可行性。方法 纳入本院2020年7月至2021年6月因髋关节疼痛于本院就诊的患者健侧髋42例,男性20例,女性22例,年龄在18~69岁(39.1±12.5岁),其中左髋12例,右髋30例。患者均接受影像学检查,包括磁共振、超声检查,磁共振及超声的测量参数为前盂唇、上盂唇和后盂唇的厚、长、面积;使用配对t检验、秩和检验比较两种检查方式的差异性,使用内相关系数比较两种检查方式的一致性。结果 前盂唇厚:超声(3.41±0.62)mm, MRI(3.59±0.54)mm;长:超声7.90(6.50,8.75)mm, MRI(7.67±1.06)mm;面积:超声0.17(0.12,0.19)mm^(2),MRI(0.17±0.05)mm;。上盂唇厚:超声4.20(3.60,4.75)mm, MRI(4.20±0.65)mm;长:超声6.80(6.05,8.10)mm, MRI(4.20±0.65)mm;面积:超声0.19(0.15,0.22)mm^(2),MRI 0.18(0.15,0.24)mm;。后盂唇厚:超声(3.77±0.61)mm, MRI(3.71±0.61)mm;长:超声(6.73±1.12)mm, MRI(6.71±1.09)mm;面积:超声0.16(0.13,0.21)mm^(2),MRI 0.16(0.13,0.19)mm;。超声与磁共振测量前盂唇厚度,差异有统计学意义(P=0.013),其余数据差异均无统计学意义。除前盂唇面积、后盂唇长及后盂唇面积两种测量方式一致性较差(ICC<0.4)外,其余位置测量数据均表现出较好的一致性(ICC>0.4)。结论 超声与磁共振测量盂唇有较好的一致性,可以作为髋关节盂唇初始显像的一种替代或附加方法。
Objective To analyze the feasibility of ultrasound(US) measurement for hip labrum with reference from magnetic resonance imaging(MRI) measurement for hip joint. Methods From July 2020 to June 2021, 42 patients with hip pain admitted in our hospital were enrolled in this study. They were 20 males and 22 females, and aged between 18 and 69 years old(mean 39.1±12.5 years old). Only the hip labrum of their healthy side were subjected for observation, including 12 left hips and 30 right hips. All patients underwent MRI and US examination for hip joint, and the measurement parameters included the thickness, and lengths and areas of anterior labrum, upper labrum and posterior labrum. Paired t test and rank sum test were used to compare the differences between the 2 measurements, and intraclass correlation coefficient(ICC) was adopt to compare the consistency of the 2 methods. Results The measurements of anterior hip labrum: thickness 3.41±0.62 vs 3.59±0.54 mm, length 7.90(6.50, 8.75) vs 7.67±1.06 mm, area 0.17(0.12, 0.19) vs 0.17±0.05 mm~2(US vs MRI). The measurements of upper hip labrum: thickness 4.20(3.60, 4.75) vs 4.20±0.65 mm, length 6.80(6.05, 8.10) vs 4.20±0.65 mm, area 0.19(0.15, 0.22) vs MRI 0.18(0.15, 0.24) mm~2. The measurements of posterior hip labrum: thickness 3.77±0.61 vs 3.71±0.61 mm, length 6.73±1.12 vs 6.71±1.09 mm, area 0.16(0.13, 0.21) vs 0.16(0.13, 0.19) mm~2. There was significant difference in the thickness of anterior hip labrum between US and MRI measurements(P<0.05), but no such differences were seen in other measurement parameters. These 2 examination methods showed good agreement(ICC>0.4) in the measurements of hip labrum generally, except for the area of anterior hip labrum and the length and area of posterior hip labrum(ICC<0.4). Conclusion US and MRI measurements show good agreement for the hip labrum. US examination can be used as an alternative or in addition to the initial imaging of the labrum of hip joint.
作者
陈练羲
何芸
覃折波
何丽君
陈光兴
蒋一帆
苏眺
华兴
CHEN Lianxi;HE Yun;QIN Zhebo;HE Lijun;CHEN Guangxing;JIANG Yifan;SU Tiao;HUA Xing(Department of Ultrasonography,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China;Center for Joint Surgery,First Affiliated Hospital,Army Medical University(Third Military Medical University),Chongqing,400038,China)
出处
《陆军军医大学学报》
CAS
CSCD
北大核心
2022年第12期1255-1260,共6页
Journal of Army Medical University
关键词
超声检查
彩色多普勒
磁共振
髋关节盂唇
ultrasonography
Doppler
color
magnetic resonance imaging
hip labrum
