摘要
目的探讨运用磁共振检查方法诊断膝关节内侧半月板移位与后根部撕裂的相关性研究。方法回顾性分析58例内究MRI影像学诊断方法探侧半月板后根损伤患者的影像学资料,并将半月板外缘超出胫骨平台边缘≥3 mm或移位半月板/最大横径≥10%的定义为严重移位,分析内侧半月板移位与后根部撕裂程度的相关性。结果通过对58例膝关节内侧半月板后根损伤患者的MRI检查结果进行影像学分析,其中43例内侧半月板后根部撕裂患者中移位≥3 mm的患者35例,发生率占60%;移位的部分与内侧半月板的最大横径比值≥10%的患者有42例,发生率占72%。结论在膝关节冠状位上测量半月板移位的部分与内侧半月板的最大横径比值的方法对于诊断半月板后根撕裂具有较高的敏感性和检出率,通过统计学分析膝关节半月板后根部撕裂与半月板移位之间具有显著相关性(P<0.05)。
Objective To investigate the causality between knee medial meniscus prominent and root tear using MRI imaging diagnostic methods.Methods Retrospectively analyzed 58 cases of patients’ imaging data who got damaged at the medial meniscus root. Meniscal tibial plateau beyond the outer edge ≥3 mm or protruding meniscus/maximum diameter of ≥10% are defined as protrusion, to analyze relativity between medial meniscus prominent and roots tear degree.Results Among the 58 cases of medial meniscal root damaged there’re 43 patients proved by arthroscopy whose medial meniscus root tear;there’re 35 patients whose medial meniscus prominent ≥3 mm and the incidence is 60%;there’re 42 patients whose prominent part of the inner the maximum diameter of the meniscus ratio≥10% and the incidence is 72%.Conclusion it has high sensitivity and detection rate to diagnosis the meniscus roots tear measuring the maximum diameter ratio of prominent part of the meniscus and medial meniscus in the knee on coronal. The statistics has significant correlation to analysis the posterior meniscus root dilaceration and meniscal protrusion(P<0.05).
作者
郭侨阁
牛军杰
张勇
刘阳
GUO Qiao-ge;NIU Jun-jie;ZHANG Yong;LIU Yang(Zhengzhou Orthopaedic Hospital,Zhengzhou 450052,China)
出处
《医药论坛杂志》
2021年第4期55-57,61,共4页
Journal of Medical Forum
