膝关节隐性创伤骨折行MRI诊断的价值

The Value of MRI Diagnosis of Hidden Fracture of Knee Joint

目的探讨在膝关节隐性创伤骨折临床诊断中应用MRI扫描检查的临床价值。方法将我院2013年11月—2017年11月经确诊的88例膝关节隐性创伤骨折患者纳入本次研究,88例患者均接受16排螺旋CT检查、1.5T磁共振检查。观察患者CT检查结果、磁共振检查结果。结果 CT检查的检出率(86.36%)、漏诊率(13.64%)与磁共振检查的检出率(97.73%)、漏诊率(2.27%)相比,差异具有统计学意义(P<0.05)。结论相较于CT检查,在膝关节隐性创伤骨折患者临床诊断中应用磁共振检查的临床价值较为显著,灵敏度及特异度较高,可准确诊断骨折类型,并且避免了有害X线辐射。

Objective To investigate the clinical value of MRI scan in clinical diagnosis of recessive traumatic fractures of knee joint.Methods 88 cases of patients with tibial fractures of the knee that were diagnosed in our hospital from November 2013 to November 2017 were enrolled in this study.All 88 cases of patients underwent 16-slice spiral CT and 1.5T magnetic resonance imaging,to observe the results of CT examination,magnetic resonance imaging.Results The detection rate of CT examination(86.36%),missed diagnosis rate(13.64%)was significantly higher than that of MR examination(97.73%)and missed diagnosis rate(2.27%),the difference was statistically significant(P<0.05).Conclusion Compared with CT,the clinical value of magnetic resonance imaging in the clini cal diagnosis of patients with fractures of the knee with traumatic trauma is more significant and the sensitivity and specificity are higher.It can accurately diagnose the type of fracture and avoid harmful X-ray radiation.