MRI定量测量内侧半月板外凸值与内侧半月板损伤模式及软骨损伤的相关性
R459.9%R318%R684; 背景:膝关节内侧半月板在损伤时可在MR影像上观察到超出胫骨平台边缘的外凸,其外凸值的大小是否与内侧半月板损伤的模式相关、是否与膝关节内侧间室软骨损伤程度相关值得探讨.目的:在MRI下量化测量内侧半月板外凸值,并分析其影响因素,以及外凸值大小与内侧半月板损伤模式、内侧间室的软骨损伤程度是否有相关性.方法:选择117例因膝关节半月板后角损伤就诊于安徽医科大学第一附属医院,并接受了膝关节MRI扫描检查和膝关节镜半月板手术的患者.MRI测量每例患者的半月板外凸值,从病历中录入每例患者的体质量指数、是否因急性创伤就诊、关节镜下证实的半月板损伤模式和内侧间室的软骨损伤等...
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| Published in | 中国组织工程研究 Vol. 27; no. 22; pp. 3567 - 3572 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Chinese |
| Published |
安徽医科大学第一附属医院运动创伤与关节镜外科,安徽省合肥市 230022
2023
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2095-4344 |
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| Abstract | R459.9%R318%R684; 背景:膝关节内侧半月板在损伤时可在MR影像上观察到超出胫骨平台边缘的外凸,其外凸值的大小是否与内侧半月板损伤的模式相关、是否与膝关节内侧间室软骨损伤程度相关值得探讨.目的:在MRI下量化测量内侧半月板外凸值,并分析其影响因素,以及外凸值大小与内侧半月板损伤模式、内侧间室的软骨损伤程度是否有相关性.方法:选择117例因膝关节半月板后角损伤就诊于安徽医科大学第一附属医院,并接受了膝关节MRI扫描检查和膝关节镜半月板手术的患者.MRI测量每例患者的半月板外凸值,从病历中录入每例患者的体质量指数、是否因急性创伤就诊、关节镜下证实的半月板损伤模式和内侧间室的软骨损伤等级等信息,分析半月板外凸值大小与上述因素的相关性.结果 与结论:①病史中存在可明确回忆的急性创伤患者组31例(26.5％),无明确回忆的急性创伤患者组86例(73.5％),两组半月板外凸值比较差异有显著性意义(P=0.001);②低体质量指数组(体质量指数≤25 kg/m2)56例(47.9％),高体质量指数组(体质量指数>25 kg/m2)61例(52.1％),两组半月板外凸值比较差异有显著性意义(P=0.008);③按照半月板损伤部位分为半月板后体部损伤组60例(51.2％)、后角损伤组37例(31.6％),后根断裂组20例(17.1％),各组间半月板外凸值比较差异有显著性意义(P=0.000);④按照关节镜下证实的损伤情况,将非内侧半月板后根断裂的患者分为半月板复合裂组(n=49)和非复合裂组(n=48),两组半月板外凸值比较差异有显著性意义(P=0.000);⑤半月板外凸值预测内侧间室中重度软骨损伤和内侧半月板后根断裂受试者工作特征曲线下面积分别为0.794和0.942;⑥提示半月板外凸值的大小与患者病程中有无急性创伤、患者体质量指数和患者内侧半月板损伤模式相关,且半月板外凸值对内侧半月板后根断裂有较好的预测价值. |
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| AbstractList | R459.9%R318%R684; 背景:膝关节内侧半月板在损伤时可在MR影像上观察到超出胫骨平台边缘的外凸,其外凸值的大小是否与内侧半月板损伤的模式相关、是否与膝关节内侧间室软骨损伤程度相关值得探讨.目的:在MRI下量化测量内侧半月板外凸值,并分析其影响因素,以及外凸值大小与内侧半月板损伤模式、内侧间室的软骨损伤程度是否有相关性.方法:选择117例因膝关节半月板后角损伤就诊于安徽医科大学第一附属医院,并接受了膝关节MRI扫描检查和膝关节镜半月板手术的患者.MRI测量每例患者的半月板外凸值,从病历中录入每例患者的体质量指数、是否因急性创伤就诊、关节镜下证实的半月板损伤模式和内侧间室的软骨损伤等级等信息,分析半月板外凸值大小与上述因素的相关性.结果 与结论:①病史中存在可明确回忆的急性创伤患者组31例(26.5％),无明确回忆的急性创伤患者组86例(73.5％),两组半月板外凸值比较差异有显著性意义(P=0.001);②低体质量指数组(体质量指数≤25 kg/m2)56例(47.9％),高体质量指数组(体质量指数>25 kg/m2)61例(52.1％),两组半月板外凸值比较差异有显著性意义(P=0.008);③按照半月板损伤部位分为半月板后体部损伤组60例(51.2％)、后角损伤组37例(31.6％),后根断裂组20例(17.1％),各组间半月板外凸值比较差异有显著性意义(P=0.000);④按照关节镜下证实的损伤情况,将非内侧半月板后根断裂的患者分为半月板复合裂组(n=49)和非复合裂组(n=48),两组半月板外凸值比较差异有显著性意义(P=0.000);⑤半月板外凸值预测内侧间室中重度软骨损伤和内侧半月板后根断裂受试者工作特征曲线下面积分别为0.794和0.942;⑥提示半月板外凸值的大小与患者病程中有无急性创伤、患者体质量指数和患者内侧半月板损伤模式相关,且半月板外凸值对内侧半月板后根断裂有较好的预测价值. |
| Author | 陈昊 姜少伟 吴磊 王瑞 |
| AuthorAffiliation | 安徽医科大学第一附属医院运动创伤与关节镜外科,安徽省合肥市 230022 |
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| Author_FL | Wu Lei Chen Hao Wang Rui Jiang Shaowei |
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| Keywords | 半月板外凸 MRI 半月板撕裂 软骨损伤 关节镜 |
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| Title | MRI定量测量内侧半月板外凸值与内侧半月板损伤模式及软骨损伤的相关性 |
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