CAJ | 학술논문

目的：比较CT和MRI诊断膝半月板和关节软骨损伤的临床检出率，并讨论其临床诊断参考价值。方法回顾性比较分析本院于2013年9月-2014年6月期间收治因膝半月板和关节软骨损伤而进行CT及MRI检查诊断且图像特征典型、清晰的患者150例(关节软骨损伤152个，半月板损伤149个)的临床检出率，并分别与关节镜检查的检出率相比较，同时进行统计学分析。结果观察组软骨损伤Ⅳ期和半月板损伤Ⅲ级的临床检出率显著高于对照组(P＜0.05)，差异具有统计学意义，而与关节镜检查的检出率差异不显著(P＜0.05)。对照组软骨损伤Ⅳ期和半月板损伤Ⅲ级的临床检出率显著低于关节镜检查的检出率(P＜0.05)，差异具有统计学意义。结论 MRI在诊断Ⅳ期关节软骨损伤和Ⅲ级半月板损伤的临床检出率高于CT诊断。
목적：비교CT화MRI진단슬반월판화관절연골손상적림상검출솔，병토론기림상진단삼고개치。방법회고성비교분석본원우2013년9월-2014년6월기간수치인슬반월판화관절연골손상이진행CT급MRI검사진단차도상특정전형、청석적환자150례(관절연골손상152개，반월판손상149개)적림상검출솔，병분별여관절경검사적검출솔상비교，동시진행통계학분석。결과관찰조연골손상Ⅳ기화반월판손상Ⅲ급적림상검출솔현저고우대조조(P＜0.05)，차이구유통계학의의，이여관절경검사적검출솔차이불현저(P＜0.05)。대조조연골손상Ⅳ기화반월판손상Ⅲ급적림상검출솔현저저우관절경검사적검출솔(P＜0.05)，차이구유통계학의의。결론 MRI재진단Ⅳ기관절연골손상화Ⅲ급반월판손상적림상검출솔고우CT진단。
Objective To compare the clinical CT and MRI diagnosis of knee joint meniscus and articular cartilage injury detection rate, and discuss the clinical diagnosis value of reference. Methods Review the comparison and analysis of the hospital in 2013 September-2014 June hospitalized during the period because of knee meniscus and articular cartilage injury in 150 patients who underwent CT and MRI scan in the diagnosis and the image characteristics of typical, clear method (articular cartilage injury of meniscus injury in 152, 149) clinical detection rate and detection rate, respectively with arthroscopy in comparison, and carries on statistics analysis. Results the observation group cartilage injury clinical stage IV and meniscus injury grade detection rate was significantly higher than that of the control group (P<0.05), statistically significant differences with arthroscopy, the detection rate of no significant difference (P<0.05). Controlled clinical group IV and cartilage injury of meniscus injury grade detection rate was significantly lower than the detection rate of arthroscopy (P<0.05), with significant difference. Conclusion MRI in the diagnosis of stage IV and III articular cartilage injury of meniscus injury was higher than that of CT diagnosis.