CAJ | 학술논문

骨关节植入物%骨与关节学术探讨%膝关节%半月板损伤%内侧副韧带%外侧副韧带%前交叉韧带%后交叉韧带%磁共振成像%影像学%并发症骨關節植入物%骨與關節學術探討%膝關節%半月闆損傷%內側副韌帶%外側副韌帶%前交扠韌帶%後交扠韌帶%磁共振成像%影像學%併髮癥
골관절식입물%골여관절학술탐토%슬관절%반월판손상%내측부인대%외측부인대%전교차인대%후교차인대%자공진성상%영상학%병발증
bone and joint implants%academic discussion of bone and joint%knee joint%meniscus injury%medial col ateral ligament%lateral col ateral ligament%anterior cruciate ligament%posterior cruciate ligament%magnetic resonance imaging%imaging%complications

　　背景：传统的影像学检查方法在膝关节半月板损伤诊断方面有很大的局限性，难以检测膝关节半月板的全部情况。目的：以磁共振成像评价膝关节半月板损伤。方法：回顾性分析以往经临床治疗证实的膝关节半月板损伤患者，分析其磁共振成像征象的特征并分级，显示半月板受损情况，与关节镜或手术结果进行对照研究。结果与结论：膝关节半月板损伤的磁共振成像中，Ⅰ级表现为不与半月板关节面接触的点状或圆形高信号，Ⅱ级表现为半月板内出现水平或斜行的线样或条状高信号影，但未达到半月板关节面缘，Ⅲ级表现为半月板内线条样或复杂形态高信号影延伸至半月板的关节面，可伴有半月板形态的改变。磁共振成像作为一种无创性的检查手段，能清楚地显示半月板变性和撕裂，正确地诊断半月板损伤的部位、形态及严重程度，这对临床确定治疗方案有非常重要的指导价值。
　　배경：전통적영상학검사방법재슬관절반월판손상진단방면유흔대적국한성，난이검측슬관절반월판적전부정황。목적：이자공진성상평개슬관절반월판손상。방법：회고성분석이왕경림상치료증실적슬관절반월판손상환자，분석기자공진성상정상적특정병분급，현시반월판수손정황，여관절경혹수술결과진행대조연구。결과여결론：슬관절반월판손상적자공진성상중，Ⅰ급표현위불여반월판관절면접촉적점상혹원형고신호，Ⅱ급표현위반월판내출현수평혹사행적선양혹조상고신호영，단미체도반월판관절면연，Ⅲ급표현위반월판내선조양혹복잡형태고신호영연신지반월판적관절면，가반유반월판형태적개변。자공진성상작위일충무창성적검사수단，능청초지현시반월판변성화시렬，정학지진단반월판손상적부위、형태급엄중정도，저대림상학정치료방안유비상중요적지도개치。
BACKGROUND:Conventional imaging method has significant limitations in the diagnosis of knee meniscus injury, which is difficult to detect the ful extent of the knee meniscus. OBJECTIVE:To evaluate the knee meniscus injury with magnetic resonance imaging. METHODS:The knee meniscus injury patients diagnosed with clinical treatment were retrospectively analyzed, and the characteristics of the magnetic resonance imaging were analyzed and graded. Then, the meniscus injury was analyzed and compared with the arthroscopic or surgical results. RESUTLS AND CONCLUSION:In the magnetic resonance imaging of knee meniscus injury, the Ⅰ level knee meniscus injury was presented as the punctate or round high signal that did not contacted with the surface of the meniscus, Ⅱ level knee meniscus injury was presented as the horizontal or oblique line or strip-like high signal in the meniscus, and Ⅲ level knee meniscus injury was presented as lines and complex high signal in the meniscus that extended to the articular surface of the meniscus, and accompanied with morphological changes of the meniscus. Magnetic resonance imaging, as a noninvasive checking method, can clearly show the meniscal degeneration and tearing, and correctly diagnosed the location, shape and severity of meniscus injury, which has significant guiding value in determine the clinical treatment options.