放射学实践
放射學實踐
방사학실천
RADIOLOGIC PRACTICE
2014年
7期
831-833
,共3页
肌腱损伤%体层摄影术,X线计算机%磁共振成像%关节镜检查%诊断
肌腱損傷%體層攝影術,X線計算機%磁共振成像%關節鏡檢查%診斷
기건손상%체층섭영술,X선계산궤%자공진성상%관절경검사%진단
Tendon injuries%Tomography,X-ray computed%Magnetic resonance imaging%Arthroscopy%Diagnosis
目的：探讨双能量CT（DECT）联合 MRI 对手肌腱损伤的诊断价值。方法：回顾性分析经关节镜证实的30例肌腱损伤患者（75处病灶）及10例正常侧肌腱（140处肌腱）的DECT 及 MRI 检查资料，对比分析DECT、MRI 及两者联合应用的诊断效率。结果：DECT、MRI及两者联合应用，对手肌腱损伤诊断的敏感度分别为84．0％、90．7％和94．7％，特异度分别为98．6％、99．3％和99．3％，符合率分别为93．5％、96．3％和97．7％。结论：DECT、MRI检查对手肌腱损伤的诊断都具有较高的敏感度和特异度，而联合检查可以有效地提高诊断符合率。
目的：探討雙能量CT（DECT）聯閤 MRI 對手肌腱損傷的診斷價值。方法：迴顧性分析經關節鏡證實的30例肌腱損傷患者（75處病竈）及10例正常側肌腱（140處肌腱）的DECT 及 MRI 檢查資料，對比分析DECT、MRI 及兩者聯閤應用的診斷效率。結果：DECT、MRI及兩者聯閤應用，對手肌腱損傷診斷的敏感度分彆為84．0％、90．7％和94．7％，特異度分彆為98．6％、99．3％和99．3％，符閤率分彆為93．5％、96．3％和97．7％。結論：DECT、MRI檢查對手肌腱損傷的診斷都具有較高的敏感度和特異度，而聯閤檢查可以有效地提高診斷符閤率。
목적：탐토쌍능량CT（DECT）연합 MRI 대수기건손상적진단개치。방법：회고성분석경관절경증실적30례기건손상환자（75처병조）급10례정상측기건（140처기건）적DECT 급 MRI 검사자료，대비분석DECT、MRI 급량자연합응용적진단효솔。결과：DECT、MRI급량자연합응용，대수기건손상진단적민감도분별위84．0％、90．7％화94．7％，특이도분별위98．6％、99．3％화99．3％，부합솔분별위93．5％、96．3％화97．7％。결론：DECT、MRI검사대수기건손상적진단도구유교고적민감도화특이도，이연합검사가이유효지제고진단부합솔。
Objective:To study the value of dual energy CT (DECT)in combination with MRI in the diagnosis of hand tendon injury.Methods:DECT and MRI materials of 30 cases with hand tendon injury (75 sites)confirmed by arthros-copy and 10 cases with normal tendons (140 sites)were analyzed retrospectively.The value of DECT,MRI and combination of the two for the diagnosis were compared and analyzed.Results:The sensitivity for diagnosing hand tendon injury using DECT,MRI and combination of the two was 84.0%,90.7% and 94.7%,respectively.The specificity was 98.6%,99.3%and 99.3%,respectively.The coincidence rate with the findings of arthroscopy was 93.5%,96.3% and 97.7%,respective-ly.Conclusion:Both DECT and MRI showed high sensitivity and specificity in diagnosing hand tendon injury,and combina-tion of the two can improve the coincidence rate with the findings of arthroscopy.
