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肌骨超声检查在创伤性浅表软组织损伤中的效果观察

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目的 探究创伤性浅表软组织损伤患者接受肌骨超声检查的意义。方法 选择永煤集团总医院 2021 年 1 月至 2023 年 10 月收治的 86 例疑似创伤性浅表软组织损伤患者作为研究对象,所有患者均接受肌骨超声检查与磁共振成像检查(MRI),以手术病理结果为诊断金标准,对比两组检查方式下诊断结果、诊断效能与不同类型损伤的检出情况。结果 手术病理结果显示阳性率为 93。02%,MRI检查阳性率为 86。05%,肌骨超声检查阳性率为 81。40%,两种检查结果差异无统计学意义(P>0。05)。MRI检查、肌骨超声检查的准确度、灵敏度与特异度分别为 90。70%、91。25%、83。33%,83。72%、85。00%、66。67%,两种检查方式诊断效能指标相比,MRI检查指标均较优,但两者之间差异无统计学意义(P>0。05)。两组检查方式在不同类型损伤中的检出情况相比,仅在半月板损伤上差异具有统计学意义(P<0。05),余下类型损伤中差异无统计学意义(P>0。05)。与MRI检查检查费用相比,肌骨超声检查费用较低,差异具有统计学意义(P<0。05)。结论 肌骨超声检查应用在创伤性浅表软组织损伤中的检出率、诊断效能与疾病类型诊断符合率较高,这有利于临床中及早发现疾病,进而可为临床及早治疗提供参考性依据,同时肌骨超声检查费用较低,值得在临床检查中使用。
The Musculoskeletal Ultrasound in the Diagnosis of Traumatic Superficial Soft TissueInjury
Objective To study the clinical significance of musculoskeletal ultrasound in patients with traumatic superficial soft tissue injury.Methods A total of 86 suspected patients with traumatic superficial soft tissue injury registered from January 2021 to October 2023 in Yongmei Group General Hospital were chosen as research subjects.All patients underwent musculoskeletal ultrasound and magnetic resonance imaging(MRI).The surgical and pathological examination results were seen as the gold standard.The diagnosis outcomes and efficacy,and detection rates of different injury types were compared.Results The surgical pathological results showed a positive rate of 93.02%,86.05%of positive cases by the magnetic resonance imaging and 81.40%of positive cases by the musculoskeletal ultrasound;no significant differences were observed based on two examination modes(P>0.05);The accuracy,sensitivity,and specificity of MRI examination and musculoskeletal ultrasound examination were 90.70%,91.25%,83.33%,83.72%,85.00%,and 66.67%,respectively.Compared with the diagnostic performance indicators of the two examination methods,MRI examination indicators were better,but the difference between the two was not statistically significant(P>0.05);The detection results of the two examination methods in different types of injuries showed a statistically significant difference only in meniscus injuries(P<0.05),while there was no statistically significant difference in the remaining types of injuries(P>0.05).The cost of musculoskeletal ultrasound was lower than that of MRI,and the difference is statistically significant(P<0.05).Conclusion The detection rate and diagnostic efficiency of musculoskeletal ultrasound in traumatic superficial soft tissue injury are higher than that of other types of diseases,which is beneficial to early detection of diseases in clinical practice,it can provide reference basis for early clinical treatment.At the same time,the expense of musculoskeletal ultrasound examination is low,so it is worth to be widely used in clinical examination.

musculoskeletal ultrasoundtraumatic superficial soft tissue injurymagnetic resonance imagingdiagnosis efficacy

李矿、于芳、于霞、王翠祥

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永煤集团总医院 超声科,河南 永城 476600

永煤集团总医院 影像中心,河南 永城 476600

肌骨超声检查 创伤性浅表软组织损伤 磁共振成像 诊断效能

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(6)
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