CAJ | 학술논문

对经手术或穿刺证实的48例膝关节积脂血症患者的X线平片、CT、MRI、超声4种影像学资料进行对照研究.X线平片显示骨折线39例、髌上囊脂-液平面40例;在9例隐匿性骨折中5例显示脂-液平面.CT显示骨折线48例、关节积脂血症48例,三维重建图像能更直观地显示骨折线.MRI显示骨折线45例、积脂血症48例,并同时显示关节内结构损伤.超声显示骨折线15例、积脂血症48例.在9例隐匿性骨折中均显示积脂血症.结果提示4种影像方法诊断膝关节积脂血症各有优缺点,应根据临床需要适当选择.
대경수술혹천자증실적48례슬관절적지혈증환자적X선평편、CT、MRI、초성4충영상학자료진행대조연구.X선평편현시골절선39례、빈상낭지-액평면40례;재9례은닉성골절중5례현시지-액평면.CT현시골절선48례、관절적지혈증48례,삼유중건도상능경직관지현시골절선.MRI현시골절선45례、적지혈증48례,병동시현시관절내결구손상.초성현시골절선15례、적지혈증48례.재9례은닉성골절중균현시적지혈증.결과제시4충영상방법진단슬관절적지혈증각유우결점,응근거림상수요괄당선택.
Forty eight patients with knee joint lipohemarthrosis underwent X-ray, CT, MRI and ultrasonography examinations, the diagnosis was confirmed by knee operation or puncture.The findings of 4 imaging methods were compared.Plain radiographs displayed fracture lines in 39 cases and fat-liquid layer of suprapatellar bursa in 40 cases, it displayed suprapatellar fat-liquid layer in 5 out of 9 occult fracture cases.CT displayed fracture lines in 48 cases and joint lipohemarthrosis in 48 cases; 3D imaging showed fracture lines better.MRI displayed fracture lines in 45 cases and joints lipohemarthrosis in 48 cases, and also showed the intracapsular structure injury.Ultrasonography revealed fracture lines in 15 cases and joint lipohemarthrosis in 48 cases, lipohemarthrosis was displayed in 7 out of 9 occult fracture cases.All 4 diagnostic imaging methods have advantages and disadvantages for diagnosis of lipohemarthrosis, and should be chosen on the basis of clinical needs.