MRI诊断前交叉韧带损伤患者的临床意义

Clinical significance of MRI in diagnosis of anterior cruciate ligament injury

目的:探讨MRI诊断前交叉韧带损伤患者的临床意义。方法:2012年3月-2014年3月收治前交叉韧带损伤患者45例。对所有患者进行MRI检查并对其临床资料进行回顾胜分析;比较2种检查方式的符合率。结果:韧带完全断裂15例患者中,MRI检出12例,与关节镜的检查结果比较,相符率80.0%;韧带部分损伤30例患者中,MRI检出28例,与关节镜的检查结果比较,相符率93.3%;5例检查结果显示韧带完好,但关节镜检查结果显示其均为前交叉韧带滑膜内完全断裂。结论:MRI用于诊断交叉韧带损伤具有一定的临床诊断价值,其是无创性诊断交叉韧带损伤最为有效的方法,但是该检查方式对前交叉韧带断裂伤的诊断存在一定的漏检性。

Objective:To investigate the clinical significance of MRI in diagnosis of anterior cruciate ligament injury.Methods:45 patients with anterior cruciate ligament injury were selected from March 2012 to March 2014.All of them were examined by MRI and their clinical data were retrospective analyzed;then we compared the coincidence rate in two kinds of examination mode. Results:Among 15 patients with ligament rupture,12 cases were detected by MRI;compared with the results of arthroscopic examination,the compliance rate was 80% .In those 30 patients with ligament injury,28 cases were detected by MRI,and the consistent rate was 93.3% when compared with the results of arthroscopic examination.5 cases showed ligament intact when detected by MRI,but the arthroscopic findings show its for complete rupture of anterior cruciate ligament in synovium.Conclusion:MRI has certain value in diagnosis of cruciate ligament injury.It is the most effective method in noninvasive diagnosis of cruciate ligament injury.But this method exist missing detection in the diagnosis of anterior cruciate ligament rupture injury.