超声在髋关节前上盂唇撕裂中的应用

发布时间：2018-05-01 13:09

本文选题：超声 + 磁共振　；参考：《北京大学学报(医学版)》2017年06期

【摘要】：目的:探讨超声在髋关节前上盂唇撕裂中的诊断价值。方法:连续收集102例临床拟诊髋关节盂唇撕裂患者的超声检查、磁共振检查(magnetic resonance imaging,MRI)和关节镜手术资料,其中男性42例,女性60例,平均年龄(35.14±9.16)岁(13~60岁),左侧髋关节44例,右侧髋关节58例。以关节镜手术为金标准,评估超声诊断髋关节前上盂唇撕裂的敏感性、特异性、阳性预测值、阴性预测值和准确性,并与MRI比较。结果:所有病例均经关节镜手术证实,其中91例为髋关节前上盂唇撕裂,11例髋关节盂唇无撕裂。超声正确诊断69例,包括髋关节前上盂唇撕裂60例和髋关节盂唇无撕裂9例;其余33例中,超声误诊2例,漏诊31例;超声评估髋关节前上盂唇撕裂的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为65.93%、81.82%、96.77%、22.50%和67.65%。MRI正确诊断77例,包括髋关节前上盂唇撕裂70例和髋关节盂唇无撕裂7例;其余的25例中,误诊4例,漏诊21例;MRI评估髋关节前上盂唇撕裂的敏感性、特异性、阳性预测值、阴性预测值和准确性分别为76.92%、63.64%、94.59%、25.00%和75.49%。超声检查与MRI检查结果相比,在评估髋关节前上盂唇撕裂的准确性上,超声检查低于MRI,差异有统计学意义(P0.01)。结论:超声诊断髋关节前上盂唇撕裂的敏感性略低于MRI,但超声检查的特异性高,动态评估是超声检查的优势,可以作为一种有效的检查方法。
[Abstract]:Objective: to evaluate the diagnostic value of ultrasound in anterior upper pelvis lip tear of hip joint. Methods: the clinical data of 102 patients with clinically diagnosed pelvic lip tears were collected, including 42 males and 60 females, with an average age of 35.14 卤9.16 years, and 44 patients with left hip joint. 58 cases of right hip joint. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of ultrasonography in the diagnosis of anterior upper pelvis lip tear of hip joint were evaluated using arthroscopic surgery as the golden standard, and compared with MRI. Results: all the cases were confirmed by arthroscopy, of which 91 cases were laceration of anterior upper pelvis lip of hip joint, 11 cases had no tear of labium pelvis of hip joint. 69 cases were correctly diagnosed by ultrasound, including 60 cases of anterior upper pelvic lip tear and 9 cases of non-laceration of the labium of the hip, 2 cases were misdiagnosed and 31 cases missed the diagnosis by ultrasound in the remaining 33 cases, the sensitivity and specificity of ultrasound in evaluating the tear of anterior upper pelvic lip of hip joint were evaluated. The positive predictive value, the negative predictive value and the accuracy of the positive predictive value and the negative predictive value were 65.93%, 81.82% and 22.50%, respectively, and 77 cases were correctly diagnosed by 67.65%.MRI, including 70 cases of anterior upper pelvic lip tear and 7 cases of no laceration of the labium pelvis of the hip, the other 25 cases were misdiagnosed in 4 cases. The sensitivity, specificity, positive predictive value, negative predictive value and accuracy of MRI in 21 cases with missing diagnosis were 76.92 ~ 63.64 ~ 94.599.59 ~ 25.00% and 75.4995% respectively. Compared with the results of MRI, the accuracy of ultrasonography in evaluating anterior upper labial laceration of hip joint was lower than that of MRI, and the difference was statistically significant (P 0.01). Conclusion: the sensitivity of ultrasonography in the diagnosis of anterior upper pelvic lip tear of hip joint is slightly lower than that of MRI, but the specificity of ultrasonic examination is high. Dynamic evaluation is the advantage of ultrasonography and can be used as an effective examination method.
【作者单位】：北京大学第三医院超声科;秦皇岛市第一医院;北京大学第三医院运动医学研究所;北京体育大学运动康复系;
【基金】：中央高校基本科研业务费专项资金(2015ZX022) 北京大学第三医院临床重点项目青年项目(Y75478-03)资助~~
【分类号】：R445.1;R684

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