摘要
目的探讨肌骨超声在创伤性浅表软组织损伤诊断中的临床效果。方法将2022年1-10月本院收治的50例疑似创伤性浅表软组织损伤病人纳入研究,入组后均给予MRI及肌骨超声检查,以手术病理诊断结果为金标准,评估MRI、肌骨超声在创伤性浅表软组织损伤诊断中的效果与差异。结果手术病理下共确诊42例创伤性浅表软组织损伤,阳性检出率为84.00%,MRI阳性检出率为68.00%(34例),肌骨超声阳性检出率为82.00%(41例);肌骨超声阳性检出率与手术诊断差异较小,对比无统计学意义(P>0.05),MRI与手术诊断结果差异明显,且肌骨超声阳性检出率高于MRI,对比均有统计学意义(P<0.05)。在不同病变类型的创伤性浅表软组织损伤诊断符合率对比上,在肌腱损伤诊断中肌骨超声显著高于MRI,对比差异有统计学意义(P<0.05)。肌骨超声诊断创伤性浅表软组织损伤的敏感性、特异性及准确性分别为95.24%、87.50%、94.00%,均高于MRI的71.42%、50.00%、64.00%,对比差异均有统计学意义(P<0.05)。结论在创伤性浅表软组织损伤检查中,肌骨超声的诊断效能和对病变的检出符合率都比MRI高。这不但有利于对病变的早发现、早期治疗,而且也能够为临床制定诊断方法提供依据,因此可以被广泛应用和推荐。
Objective To explore clinical effect of musculoskeletal ultrasound in diagnosis of traumatic superficial soft tissue injury.Methods The paper chose 50 patients with suspected traumatic superficial soft tissue injury admitted to our hospital from January to October 2022 for study,treated with MRI and musculoskeletal ultrasound examination.With gold standard of surgical pathological diagnosis results,effect and difference of MRI and musculoskeletal ultrasound in diagnosis of traumatic superficial soft tissue injury was evaluated.Results 42 cases of traumatic superficial soft tissue injury were confirmed under surgical pathology,with positive detection rate of 84.00%.Positive detection rate of MRI was 68.00%(34 cases)and that of musculoskeletal ultrasound was 82.00%(41 cases).Difference in positive detection rate between musculoskeletal ultrasound and surgical diagnosis was not statistically significant(P>0.05),while difference between MRI and surgical diagnosis was significant.Positive detection rate of musculoskeletal ultrasound was higher than MRI,both comparisons were statistically significant(P<0.05).For different types of traumatic superficial soft tissue injuries,diagnostic accuracy of tendon injuries was significantly higher than MRI,difference was statistically significant(P<0.05).Sensitivity,specificity and accuracy of musculoskeletal ultrasound was 95.24%,87.50%and 94.00%in diagnosing traumatic superficial soft tissue injury respectively,higher than MRI(71.42%,50.00%and 64.00%respectively),difference was statistically significant(P<0.05).Conclusion During examination of traumatic superficial soft tissue injury,musculoskeletal ultrasound can have higher diagnostic effect and diagnostic accuracy than MRI,which is beneficial for early detection and treatment of lesions,can provide basis for development of diagnostic methods in clinical practice.Therefore,it can be widely applied and recommended.
作者
李莹
LI Ying(Gansu Xiaolongshan Forestry Center Hospital,Tianshui,Gansu 741020)
出处
《智慧健康》
2023年第16期92-95,共4页
Smart Healthcare
关键词
肌骨超声
MRI
创伤性浅表软组织损伤
诊断效能
诊断符合率
Musculoskeletal ultrasound
MRI
Traumatic superficial soft tissue injury
Diagnostic effect
Diagnostic compliance rate
