1.Shenzhen Sami Medical Center,Guangdong Province,Shenzhen 518118,China;
2.Department of Radiology,Zhongda Huiya Hospital of Huizhou City,Guangdong Province,Huizhou 516081,China;
3.Department of Radiology,the First Affiliated Hospital of Sun Yat-sen University,Guangdong Province,Guangzhou 510080,China
Abstract：Objective To compare the effect of computed tomography (CT)and magnetic resonance imaging (MRI)in the diagnosis of occult fracture of the knee.Methods From March 2013 to November 2017,68 patients with clinically suspected occult fracture of the knees were enrolled in the Department of Radiology of Huizhou Zhongda Huiya Hospital or the First Affiliated Hospital of Sun Yat-sen University.All patients underwent CT and MRI within 1 week.The results based on surgical diagnosis and clinical follow-up were used as the diagnostic criteria to compare the sensitivity,specificity and accuracy of CT and MRI in the diagnosis of occult fractures of the knee.Results There were 61 subjects in total definitely diagnosed as occult fracture of the knee,and the rest 7 ones suffered from clinical pain due to other reasons.There was no statistical difference in the sensitivity of CT and MRI diagnosis(P＞0.05).The specificity of MRI diagnosis was higher than that of CT diagnosis with a significant difference (P＜0.05).The accuracy of MRI diagnosis was also higher compared with that of CT with statistical significance(P＜0.05).Conclusion MRI is superior to CT in the diagnosis of patients with the occult fracture of the knee.
丛喜达；丁磊； 魏文洲； 高振华. CT、MRI诊断膝关节隐性骨折的效果比较[J]. 中国当代医药, 2019, 26(3): 81-83转86.
CONG Xi-da1，2DING Lei3WEI Wen-zhou1GAO Zhen-hua2，3▲. Effect comparison of CT and MRI in the diagnosis of occult fracture of the knee. 中国当代医药, 2019, 26(3): 81-83转86.
Li KN，Lan H，He ZY，et al.Comparison of external fixation with or without limited internal fixation for open knee fractures[J].Zhonghua Wai Ke Za Zhi，2018，56（3）：177-182.
[3]
Lidder S，Thomas M，Desai A，et al.Osteochondral fractures of the knee in skeletally immature patients：short term results of operative fixation using Omnitech screws[J].Acta Orthop Belg，2016，82（4）：762-767.
Aleksandrova EV，Batalov AI，Pogosbekyan EL，et al.New opportunities of magnetic-resonance imaging：an algorithm of CSD-HARDI tractography in reconstruction of the brainstem reticular formation fibers[J].Zh Vopr Neirokhir Im N N Burdenko，2018，82（1）：5-12.
Thomassin-Naggara I，Bendifallah S，Rousset P，et al.Diagnostic performance of MR imaging，coloscan and MRI/CT enterography for the diagnosis of pelvic endometriosis：CNGOF-HAS Endometriosis Guidelines[J].Gynecol Obstet Fertil Senol，2018，46（3）：177-184.
[11]
Yin ZF，Sun BF，Yang XH，et al.Antero-medial incision of knee joint for the treatment of intercondylar fracture of femur[J].Zhongguo Gu Shang，2017，30（12）：1147-1150.
京公网安备 11010502046607号