中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2013年
1期
57-58
,共2页
膝关节%滑膜软骨瘤%X 线%CT%MRI%诊断
膝關節%滑膜軟骨瘤%X 線%CT%MRI%診斷
슬관절%활막연골류%X 선%CT%MRI%진단
Knee%Synovial Chondroma%X line%CT%MRI%Diagnosis
目的探索影像学中的 X 线、CT 及 MRI 在诊断膝关节滑膜软骨瘤中的作用.方法对本院2009年8月至2011年9月经手术病理证实为膝关节滑膜软骨瘤的25例病例进行回顾性分析,25例病例中行 X 线平片检查的为25例,行 CT 检查的有20例,行 MRI 检查的有15例.结果行 X 线平片检查的25例患者中诊断阳性者19例,行 CT 检查的20例患者中诊断阳性者为19例,行 MRI 检查的15例患者中诊断阳性者为12例,检出率分别为76%、95%和80%,但是差异无统计学意义(P>0.05); X 线平片检查显示阳性者关节内以及关节周围可见卵圆或圆形的结节状的骨化或钙化影,CT 和 MRI 检查显示阳性者可见骨化或钙化影,但是在清晰度和数量上要优于 X 线平片检查.结论 X 线、CT 及 MRI 均可诊断膝关节滑膜软骨瘤,CT 的检出率较高,诊断效果也较好;临床诊断时可将更廉价 X 线平片检查作为膝关节滑膜软骨瘤患者的首选诊断方法.
目的探索影像學中的 X 線、CT 及 MRI 在診斷膝關節滑膜軟骨瘤中的作用.方法對本院2009年8月至2011年9月經手術病理證實為膝關節滑膜軟骨瘤的25例病例進行迴顧性分析,25例病例中行 X 線平片檢查的為25例,行 CT 檢查的有20例,行 MRI 檢查的有15例.結果行 X 線平片檢查的25例患者中診斷暘性者19例,行 CT 檢查的20例患者中診斷暘性者為19例,行 MRI 檢查的15例患者中診斷暘性者為12例,檢齣率分彆為76%、95%和80%,但是差異無統計學意義(P>0.05); X 線平片檢查顯示暘性者關節內以及關節週圍可見卵圓或圓形的結節狀的骨化或鈣化影,CT 和 MRI 檢查顯示暘性者可見骨化或鈣化影,但是在清晰度和數量上要優于 X 線平片檢查.結論 X 線、CT 及 MRI 均可診斷膝關節滑膜軟骨瘤,CT 的檢齣率較高,診斷效果也較好;臨床診斷時可將更廉價 X 線平片檢查作為膝關節滑膜軟骨瘤患者的首選診斷方法.
목적탐색영상학중적 X 선、CT 급 MRI 재진단슬관절활막연골류중적작용.방법대본원2009년8월지2011년9월경수술병리증실위슬관절활막연골류적25례병례진행회고성분석,25례병례중행 X 선평편검사적위25례,행 CT 검사적유20례,행 MRI 검사적유15례.결과행 X 선평편검사적25례환자중진단양성자19례,행 CT 검사적20례환자중진단양성자위19례,행 MRI 검사적15례환자중진단양성자위12례,검출솔분별위76%、95%화80%,단시차이무통계학의의(P>0.05); X 선평편검사현시양성자관절내이급관절주위가견란원혹원형적결절상적골화혹개화영,CT 화 MRI 검사현시양성자가견골화혹개화영,단시재청석도화수량상요우우 X 선평편검사.결론 X 선、CT 급 MRI 균가진단슬관절활막연골류,CT 적검출솔교고,진단효과야교호;림상진단시가장경렴개 X 선평편검사작위슬관절활막연골류환자적수선진단방법.
Objective To explore the imaging of X-ray, CT and MRI in the diagnosis of knee synovial chondroma. Methods Our hospital pathologically confirmed knee synovial chondroma were retrospectively analyzed 25 cases, 25 cases BOC X-ray check of 25 cases, a CT scan on August 2009–Sepetmber 2011 menstrual 20 cases, 15 patients underwent MRI. Diagnosis of 19 cases of positive results in 25 patients were examined by X-ray film, 20 patients underwent CT examination, diagnosis positive for 19 cases, 15 patients underwent MRI diagnosis positive for 12 cases, the detection rates were 76%, 95%and 80%, respectively, but the difference was not statistically significant (P>0.05); X-ray examination showed positive intra-articular and periarticular ossification the visible oval or round nodular or calcification, CT and MRI revealed a positive the visible ossification or calcification, but is superior in clarity and the number of X-ray examination. Conclusion X-ray, CT and MRI can diagnose knee synovial chondroma higher detection rate of CT, the diagnostic results would be better as a knee joint synovial chondroma; clinical diagnosis may be more inexpensive X-ray examination patients preferred diagnostic method.
