摘要
目的探讨B超和MRI用于髋关节一过性滑膜炎的检出率,并分析原因。方法回顾性分析2014年2月~2015年8月我科接诊的髋关节一过性滑膜炎患者52例(66髋),分别行B超和MRI检查,对比其检查阳性率。结果52例患者中1周内由B超确诊一过性滑膜炎37例,MRI确诊44例,其诊断阳性率分别为71.17%(37/52)和84.62%(44/52)。1周以上患者中,MRI诊断阳性率为13.61%(7/52),高于B超9.62%(5/52);总阳性率MRI高于B超,其差异均有统计学意义(P〈0.05)。结论在髋关节一过性滑膜炎的早期影像诊断方法中,MRI有较高的敏感性和特异性,可较好显示骨质细微信号改变,具有临床应用前景。
Objective To investigate detection rates of B ultrasound and MRI in transient synovitis of the hip and analyze the reasons. Methods 52 patients (66 hips) with transient synovitis of the hip were analyzed retrospec- tively from Feb. 2014 to Aug. 2015. B ultrasound and MRI were performed and positive rates were compared. Results 37 patients were diagnosed by B ultrasound, and 44 were diagnosed by MRL Diagnostic positive rates were 71.17% (37/52) and 84.62% (44/52) respectively. The positive rate of MRI was 13.61% (7/52), which was higher than 9.62% (5/52)by B ultrasound in patients sick for more than one week. The total positive rate of MRI was higher than that of B ultrasound( P 〈 0.05 ). Conclusion MRI has high sensitivity and specificity in the early imaging diagnosis of transient synovitis of the hip, which shows fine bone signal change and has a wide prospect of clinical application.
出处
《医学新知》
CAS
2016年第3期204-206,F0004,共4页
New Medicine