MR与CT在膝关节交叉韧带损伤诊治重建的应用价值

Application Value of MR and CT in the Diagnosis and Treatment and Reconstruction of Injury of Cruciate Ligament of Knee Joint

目的探究膝关节交叉韧带损伤诊治重建中MR与CT的应用价值。方法整群选取并回顾性分析2014年6月—2015年6月在该院收治的98例膝关节交叉韧带损伤患者临床资料,按诊治所用不同检查方法分为两组,观察组54例患者行MR诊治与重建,对照组44例患者行CT诊治与重建,比较两组ACL与PCL测量值。结果观察组ACL的前内侧束长度(41.1±1.6)mm、后外侧束长度(16.6±1.6)mm、宽度(10.1±0.6)mm、厚度(5.8±0.6)mm与对照组(40.6±1.5)mm、(16.3±1.4)mm、(9.8±0.9)mm、(5.6±0.9)mm比较差异无统计学意义(P>0.05),但观察组测量值略微优于对照组。结论 MR与CT在膝关节交叉韧带损伤诊治重建中均具较高的应用价值,但MR诊治重建效果略优于CT,两种检查检查技术均值得推广使用。

Objective To study the application value of MR and CT in the diagnosis and treatment and reconstruction of injury of cruciate ligament of knee joint. Methods The clinical materials of 98 cases of patients with injury of cruciate ligament of knee joint treated in our hospital from June 2014 to June 2015 were retrospectively analyzed and divided into two groups according to different diagnostic and treatment examination methods, the observation group（55 cases） received MR diagnosis and treatment and reconstruction, the control group（44 cases） received CT diagnosis and treatment and reconstruction, the measured values of ACL and PCL of the two groups were compared. Results The anterior medial bundle length of ACL, lateral bundle length of ACL, width and thickness were respectively（41.1±1.6）mm,（16.6±1.6）mm,（10.1±0.6）mm and（5.8±0.6）mm in the observation and（40.6±1.5）mm,（16.3±1.4）mm,（9.8±0.9）mm and（5.6±0.9））mm in the control group, the comparison was not statistically significant（P〉0.05）, however, the measured value in the observation group was slightly better than that in the control group. Conclusion MR and CT in the diagnosis and treatment and reconstruction of injury of cruciate ligament of knee joint has a higher application value, however, the diagnosis and treatment and reconstruction effect of MR is better than that of CT, and the examination technologies of them are worthy of promotion and application.