摘要
目的：研究ＭＲＩ对诊断膝关节退行性骨关节病的能力和意义。材料和方法：分析３７例３８个膝关节退行性骨关节病的ＭＲＩ表现，并与平片、关节镜或手术结果进行对照。结果：ＭＲＩ能较为准确地显示骨关节病的关节软骨、半月板、韧带、滑膜、游离体及骨质的改变，明显优于平片，与关节镜检查结果基本一致，且能显示关节镜不易发现的软骨、半月板的早期退变。结论：由于ＭＲＩ信号特点与关节镜和病理分级结果一致，这就为术前正确诊断及手术方案的制定提供了确切的依据。
Purpose:ToevaluateMRimaginginthediagnosisofdegenerativeosteoarthritisinthekneeanditsclinicalsignificance.MaterialsandMethods:MRimagingwasperformedin38casesofdegenerativeosteoarthritisoftheknee,theresultswerecomparedwithplainfilmarthroscopyoroperation.Results:MRimagingcouldclearlydemonstratealthelesionsindegenerativearthrosis,includingdenudedarticularcartilage,tornanddegenerativemeniscalfibrocartilage,chronicinjuriesofcruciateligaments,synovitis,loosebodies,osteophyteandsubchondralsclerosis.ThediagnosticacuracyofMRimagingwassimilartothatofarthroscopyandsuperiortothatofradiography.MRimagingwasalsoabletodetectearlydegenerativelesionsofarticularcartilageandmeniscushardlydetectablebyotherexaminationmethods.Conclusion:PathologicstagingandMRgradingsystemforthisdiseasehaveagoodpositiverelevance.TheauthorsrecommendedMRimagingtobethemodalityofchoiceforevaluationofdegenerativeosteoarthritis.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1996年第2期124-127,共4页
Chinese Journal of Radiology
关键词
骨关节病
膝关节
退行性
NMR
成像
Osteoarthropathy,secondaryhypertrophicMagneticresonanceimaging
