摘要
目的:讨论膝关节骨性关节炎X线平片与MRI表现,比较两种检查方法的诊断价值。材料与方法:搜集经开放性或关节镜手术证实的膝关节骨性关节炎患者资料,23例共29个膝关节,术前均作平片与MRI检查。回顾性分析其影像表现,比较两种检查方法的阳性率。结果:平片观察骨质改变较好,对软组织病变不能显示。MRI对骨质改变的显示不及平片好,对软骨改变、半月板变性、关节积液、关节内游离体、滑膜增厚、骨髓水肿及软组织肿胀显示较好。结论:MRI较平片提供更多的阳性征象,对膝关节骨性关节炎的诊断准确性高于平片。
Purpose：To discuss the findings of X-ray and MRI in keen osteoarthritis,and a comparison with the diagnostic value of them was made.Materials and Methods：The X-ray plain film？and MRI findings of 29 cases with keen osteoarthritis proved by open surgery or arthroscopy were analyzed retrospectively,for a comparison of the positive rate？with two methods.Results：Bone changes on plain film were better showed than on MRI,cartilage changes、meniscal degeneration、joint effusion、intra-articular loose bodies、synovial thickening？bone marrow edema and soft tissue swelling were better displayed on MRI.Soft tissue lesions？were not displayed on plain film.Conclusion：MRI is better than plain film for the display of more positive signs,diagnostic accuracy is higher than plain film in keen osteoarthritis.
出处
《现代医用影像学》
2009年第6期340-343,共4页
Modern Medical Imageology
