膝关节髌内侧滑膜皱襞分型及软骨损伤分级:MRI与关节镜对比

发布时间：2018-02-07 15:18

  本文关键词： 髌内侧滑膜皱襞 软骨损伤 磁共振成像　出处：《实用医学杂志》2017年07期 　论文类型：期刊论文

【摘要】：目的:研究髌内侧滑膜皱襞及软骨损伤的MRI表现。方法:对30例MRI检查提示髌内侧滑膜皱襞阳性者分四型,软骨损伤分五级,分析两种检查所得髌内侧滑膜皱襞分型和软骨损伤分级差异有无显著性。结果:髌内侧滑膜皱襞分型:A型(n=3)呈线条状,紧贴股骨内侧髁;B型(n=13)呈棚架状,未覆盖股骨内髁前内侧;C型(n=8)呈棚架状,部分或全部覆盖股骨内髁前内侧;D型(n=2)表现与C型相似,但皱襞内有裂隙样异常信号。软骨损伤MRI分级为0级(n=10)、Ⅰ级(n=2)、Ⅱ级(n=7)、Ⅲ级(n=7)、Ⅳ级(n=4)。两种检查所得髌内侧滑膜皱襞分型和软骨损伤分级差异均无统计学意义(P0.05)。结论:MRI检查可作为滑膜皱襞术前评估的可靠手段,且对形态学异常的软骨损伤定量分级。
[Abstract]:Objective: to study the MRI findings of medial patellar synovial plica and cartilage injury. Methods: 30 cases of medial patellar synovial fold positive by MRI were divided into four types and cartilage injury was divided into five grades. Results: the classification of medial patellar synovial fold type 1: a) was linear, and the type B of medial femoral condyle was scaffold type 13 (P < 0 05), the results showed that there were significant differences between the two types of medial patellar synovial plica classification and cartilage injury grade. Type C of the anterior medial femoral condyle without covering the medial femoral condyle was scaffold, and the type D of the medial anterior condyle of the femur covered partially or completely was similar to that of the type C. However, there were fissure-like abnormal signals in the plica. The MRI grade of cartilage injury was 0 grade, grade 鈪，

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