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半月板撕裂缝合术后磁共振信号特征的变化及临床意义

Changes and clinical significance of MR signal features after meniscus suture

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目的 探讨半月板撕裂缝合术后患者磁共振(MR)信号变化特征及其临床意义.方法 将60例接受关节镜手术治疗的半月板撕裂患者根据二次关节镜探查结果分为观察组(半月板愈合)及对照组(未愈合),均于术前及术后18个月二次关节镜探查前行MR检查,观察两组治疗前后半月板信号特征变化及信号噪声比(SNR)的差异.结果 与治疗前比较,术后18个月两组半月板异常信号的长度、宽度均显著减小(P<0.05),且观察组异常信号的长度、宽度改善显著优于对照组(P<0.05).观察组半月板异常信号深度比值(治疗后/治疗前)在PDWI及T2WI均显著低于对照组,PDWI测量值明显高于T2WI(P<0.05).治疗后,两组PDWI及T2WI序列的SNR均显著降低,且观察组改善明显优于对照组(P<0.05).结论 半月板撕裂缝合术后,半月板内异常信号变化具有规律性,通过对异常信号变化的评价有助于评价患者预后.
Objective To explore the changes and clinical significance of magnetic resonance (MR) signal features after meniscus suture.Methods A total of 60 patients suffering meniscus tear to receive arthroscopic treatment in our hospital were divided into an observation group (healing group) and a control group (non-healing group) according to the results of the second arthroscopic detection.All the patients received MR examination before the second arthroscopic detection 18 months before and after the operation.The changes of signal features of the meniscus and the difference in signal noise ratio (SNR) between the two groups were observed.Results Compared with the situation before the treatment,the postoperative abnormal signal length and width of menisci between the two groups 18 months later were significantly reduced (P < 0.05),and the improvement of the postoperative abnormal signal length and width in the observation group was significantly better than that in the control group (P < 0.05).The depth ratio of abnormal signal in PDWI and T2WI of menisci in the observation group (postoperative value/ preoperative value) was significantly lower than that in the control group,and the measured value in PDWI was significantly higher than that in T2WI (P < 0.05).After the treatment,SNRs in PDWI and T2WI sequences in the two groups decreased significantly and the improvement in the observation group was significantly better than that in the control group (P < 0.05).Conclusion After meniscus suture,the abnormal signal changes are regular.Evaluation on abnormal signal changes is helpful for evaluating the prognosis of the patients.

meniscustearprognosismagnetic resonanceclinical significance

张军、郭克斌、熊元波、刘晓雪

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441000湖北襄阳,襄阳市襄州区人民医院骨科

半月板 撕裂 预后 磁共振 临床意义

2017

西南国防医药
成都军区医学科学技术委员会

西南国防医药

CSTPCD
影响因子:0.672
ISSN:1004-0188
年,卷(期):2017.27(1)
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