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1、超声检查在半月板损伤诊断中应用价值【摘要】目的探讨超声检查在半月板损伤诊断中的应用价值。方法57例膝关节半月板损伤患者,采用关节镜手术治疗,术前采用超声检查,对超声检查的结果进行分析。结果关节镜下显示患者的半月板损伤有83个,其中内侧半月板损伤40个,外侧半月板损伤43个;超声检查与关节镜显示结果相符的半月板损伤有75个,其中内侧半月板损伤36个,外侧半月板损伤39个;超声检查诊断准确率为90.36%,内侧半月板准确率为90.00%,外侧半月板诊断准确率为90.70%o关节镜诊断半月板损伤类型分别为水平撕裂、
2、纵行裂、桶柄状撕裂、横裂、外缘型和内缘型分别为23个、15个、17个、13个、6个和9个;超声诊断半月板损伤类型分别为水平撕裂、纵行裂、桶柄状撕裂、横裂、外缘型和内缘型分别为21个、14个、16个、12个、5个和7个,漏诊8个,漏诊率为9.64%。经治疗,患者症状均明显改善。结论超声检查诊断半月板损伤的诊断准确率较高,漏诊率较小,临床上可以将其作为半月板损伤诊断的辅助方法。【关键词】超声检查;半月板损伤;诊断价值D0I:10.14163/j.cnki.11-5547/r.2017.12.028[Abstrac
3、t】ObjectiveToinvestigateapplicationvaluebyultrasoundexaminationindiagnosisofmeniscusinjury.MethodsAtotalof57patientswithkneejointmeniscusinjuryreceivedarthroscopicsurgeryfortreatment.Analysiswasmadeonoutcomesoftheirpreoperativeultrasoundexaminaticrn.ResuIts
4、Arthroscopeshowed83caseswithmeniscusinjury,including40caseswithmedialmeniscusinjuryand43caseswithlateralmeniscusinjury.Ultrasoundexaminationshowed75correspondingcaseswithmeniscusinjury,including36caseswithmedialmeniscusinjuryand39caseswithlateralmeniscusinj
5、ury.Ultrasoundexaminationhadaccuracyrateofdiagnosisas90.36%,accuracyrateformedialmeniscusas90.00%andaccuracyrateforlateralmeniscusas90.70%・Diagnosisbyarthroscopeshowedmeniscusinjurytypesashorizontaltearin23cases,longitudinaltearin15cases,buckethandletearin1
6、7cases,transversetearin13cases,outertypein6casesandinneredgetypein9cases・Diagnosisbyultrasoundshowedmeniscusinjurytypesashorizontaltearin21cases,longitudinaltearin14cases,buckethandletearin16cases,transversetearin12cases,outertypein5casesandinnetedgetypein7
7、cases,alongwith8misdiagnosedcasesandmisdiagnosisrateas9.64%.Aftertreatment,allpatientshadobviouslyimprovedsymptoms.ConclusionUltrasoundexaminationshowshighaccuracyrateindiagnosisofmeniscusinjury,alongwithlowmisdiagnosisrate・Itcanbeappliedasaauxiliarymethodi
8、nclinicaldiagnosisofmeniscusinjury.[Keywords]Ultrasoundexamination;Meniscusinjury;Diagnosticvalue半月板损伤是一种常见的膝关节疾病,一般是由于运动、摔伤以及车祸等扭转外力导致的[1-7]o临床上采用磁共振成像(MRI)检查的准确率高,但是价格昂贵。为了探讨超声检查在半月板损伤诊断中的应用价值,本院以半月板