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核磁共振在外伤性膝关节隐性骨折诊断中的应用价值 被引量:6

The Value of Nuclear Magnetic Resonance in the Diagnosis of Traumatic Fracture of Traumatic Knee
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摘要 目的分析核磁共振在外伤性膝关节隐性骨折诊断中的应用价值。方法抽选2015年4月-2017年1月,该院接收、治疗的62例外伤性膝关节隐性骨折患者,所有入选患者均行X线、核磁共振诊断,同时观察、对照2种诊断方法的临床确诊率。结果行不同诊断方法诊断后,核磁共振确诊率100.00%(62/62):胫骨内外侧平台30例、股骨内外侧髁19例、髌骨13例,无1例漏诊、误诊;行X线检查57例呈阴性,确诊率8.06%(5/62):胫骨内外侧平台2例、股骨内外侧髁1例、髌骨2例(P<0.05);核磁共振诊断影像表现轮廓模糊、损伤韧带肿胀,信号增强。结论临床对外伤性膝关节隐性骨折患者进行初期诊断时,选核磁共振诊断方法,可大大提升临床确诊率,充分明确骨折部位,具有较高的临床应用价值。 Objective To evaluate the value of nuclear magnetic resonance in the diagnosis of traumatic fracture of traumatic knee.Methods From April 2015 to January 2017,62 patients with traumatic knee fractures were received and treated.All patients were examined by X-ray and magnetic resonance imaging.At the same time,Method of clinical diagnosis rate.Results After diagnosis of different diagnostic methods,the diagnosis rate of nuclear magnetic resonance was 100.00%:30 cases of tibial medial and lateral platform,19 cases of medial and lateral lateral femoral condyle,13 cases of patella,1 case of missed diagnosis,misdiagnosis;line X-ray examination of 57 cases were negative,The diagnosis rate was 8.06%(5/62):2 cases of tibial medial and lateral platform,1 cases of medial and lateral lateral femoral condyle and 2 cases of patella(P<0.05).The imaging of nuclear magnetic resonance was blurred and the ligament was inflated and the signal was enhanced.Conclusion The clinical diagnosis of traumatic fracture of traumatic knee joint,the choice of nuclear magnetic resonance diagnosis method,can greatly enhance the clinical diagnosis rate,fully clear the fracture site,has a high clinical value.
作者 程渝 刘明国
出处 《双足与保健》 2017年第9期14-15,17,共3页 Biped and Health
关键词 核磁共振 外伤性膝关节 隐性骨折 应用价值 Nuclear magnetic resonance Traumatic knee Recessive fracture Application value
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