首页|肌骨超声在诊断踝、膝关节软组织损伤中的临床应用

肌骨超声在诊断踝、膝关节软组织损伤中的临床应用

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目的 探讨肌骨超声在踝、膝关节软组织损伤中的诊断价值。方法 选择2019年8月-2022年4月期间100例来濮阳市中医医院就诊的踝、膝关节软组织损伤患者,对72例非手术的患者行肌骨超声和MRI检查,并比较分析两组诊断结果的准确性,另外28例(53条损伤软组织)选择手术治疗的患者,比较分析其术前超声结果、MRI检查结果与手术结果。结果 72例非手术踝、膝关节软组织损伤的患者中,超声检查与MRI对比分析,敏感率、特异性、准确率、阳性预测值、阴性预测值分别为:92。98%、80。00%、90。28%、94。64%、75。00%;28例(共53条损伤软组织)行手术治疗的患者中,超声诊断准确率90。57%,MRI断准确率94。34%。结论 肌骨超声操作简便,在踝、膝关节软组织损伤诊断方面有较高的诊断价值,值得临床的应用与推广。
Clinical application of musculoskeletal ultrasound in diagnosis of soft tissue injury of ankle and knee joint
Objective To explore the diagnostic value of Musculoskeletal ultrasound to the knee and ankel soft tissue in-jury.Methods A total of 100 patients with soft tissue injury of ankle and knee were selected from Puyang Hospital of Traditional Chinese Medicine from August 2019 to April 2022.Musculoskeletal ultrasound and MRI were performed on 72 non-surgical patients,and the diagnostic accuracy of the two groups was compared and analyzed.28 patients(53 patients with soft tissue injury)were selected for surgical treatment.The results of preoperative ultrasound,MRI and op-eration were compared and analyzed.Results The 72 non-operative patients with soft tissue injury of ankle and knee joint,the sensitivity rate,specificity,accuracy,positive predictive value and negative predictive value were 92.98%,80.00%,90.28%,94.64%and 75.00%,respectively.Among the 28 patients(a total of 53 injured soft tissues)who underwent surgical treatment,the accuracy rate of ultrasound diagnosis was 90.57%and the accuracy rate of MRI diag-nosis was 94.34%.Conclusion Musculoskeletal ultrasound is simple and has high diagnostic value in the diagnosis of soft tissue injury of ankle and knee joint,and is worthy of clinical application and promotion.

Musculoskeletal ultrasoundKnee and ankel soft tissue injuryDiagnostic value

刘长坯、韩文朝、陈修磊、王建华

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濮阳市中医医院关节与运动医学科,河南濮阳 457000

濮阳市中医医院韩文朝全国名老中医药专家传承工作室,河南濮阳 457000

濮阳市中医医院急诊科,河南濮阳 457000

濮阳市中医医院超声介入科,河南濮阳 457000

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肌骨超声 踝、膝关节软组织损伤 诊断价值

2024

医药论坛杂志
中华预防医学会,河南省医学情报研究所

医药论坛杂志

影响因子:0.47
ISSN:1672-3422
年,卷(期):2024.45(23)