高频超声与磁共振成像在创伤性浅表软组织损伤中的临床应用分析

Evaluation and Analysis of Clinical Application of High Frequency Ultrasound and Magnetic Resonance Imaging in Traumatic Superficial Soft Tissue Injury

目的:探究高频超声与磁共振成像(MRI)在创伤性浅表软组织损伤中的临床应用价值。方法:选择2021年1月—2022年6月重庆市酉阳县人民医院收治的84例疑似创伤性浅表软组织损伤患者,均接受高频超声、MRI检查,以手术病理检查结果为金标准,探究上述两种影像学检查方式对创伤性浅表软组织损伤的诊断价值。结果:手术病理检查结果确认阳性67例、阴性17例;经高频超声检查敏感度、特异度、准确度分别为94.03%、88.24%、92.86%;经MRI检查敏感度、特异度、准确度分别为98.51%、100.00%、98.81%;高频超声、MRI对创伤性浅表软组织损伤诊断效能比较,差异无统计学意义(P>0.05);高频超声与MRI诊断对囊性肿块、实性肿块诊断检出率比较,差异无统计学意义(P>0.05);高频超声与MRI对韧带损伤、肌腱损伤、半月板损伤、肌肉损伤、神经损伤诊断检出率比较,差异均无统计学意义(P>0.05)。结论:在对创伤性浅表软组织损伤诊断中,高频超声与MRI诊断效能相近,可结合实际需求选择影像学检查方案。

Objective:To explore the clinical application value of high frequency ultrasound and magnetic resonance imaging(MRI)in traumatic superficial soft tissue injury.Method:A total of 84 patients with suspected traumatic superficial soft tissue injury were selected from Chongqing Youyang County People's Hospital from January 2021 to June 2022.All of them underwent high frequency ultrasound and MRI examinations.The results of surgical and pathology examinations were taken as the gold standard to explore the diagnostic value of the above two imaging examination methods in traumatic superficial soft tissue injury.Result:The results of surgical pathology examinations confirmed that 67 cases were positive and 17 cases were negative.The sensitivity,specificity and accuracy of high frequency ultrasound were 94.03%,88.24%and 92.86%respectively.The sensitivity,specificity and accuracy of MRI were 98.51%,100.00%and 98.81%respectively.There was no significant difference between high frequency ultrasound and MRI in the diagnosis of traumatic superficial soft tissue injury(P>0.05).There were no significant differences in the detection rate of cystic and solid masses between high frequency ultrasound and MRI(P>0.05).There were no significant differences between high frequency ultrasound and MRI in the diagnosis of ligament injury,tendon injury,meniscus injury,muscle injury and nerve injury(P>0.05).Conclusion:In the diagnosis of traumatic superficial soft tissue injury,the diagnostic efficacy of high frequency ultrasound is similar to that of MRI,and the imaging examination scheme can be selected according to the actual needs.