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目的:通过比较分析高频彩超与MRI检查在膝关节骨性关节炎的诊断价值,探讨彩超的优越性。方法:选择2014年5月至2016年5月在我院收治的临床确诊为膝关节骨性关节炎的病例48例90个膝关节,均进行彩超与MRI检查,对两种检查结果进行对比分析。结果:高频彩超和MRI对膝关节骨性关节炎非骨性病变均具有良好的显示率,对关节内韧带(前后交叉韧带)MRI优于超声,但在显示滑膜血管方面彩超优于MRI。结论:高频彩超、MRI对诊断膝关节骨性关节炎诊断价值相当,在关节内韧带、滑膜血管方面各有优势,可以相互补充,但彩超方便廉价,实时无创,重复性强,可作为首选筛查方法。
OBJECTIVE: To compare the diagnostic value of high frequency ultrasound and MRI in the diagnosis of osteoarthritis of the knee and to explore the superiority of ultrasound. Methods: 48 cases (90 knees) with knee osteoarthritis clinically diagnosed in our hospital from May 2014 to May 2016 were examined by color Doppler and MRI, and the results of the two examinations were compared . Results: High-frequency color Doppler ultrasound and MRI showed a good rate of non-osteoarthritic knee osteoarthritis, superior to ultrasound in the intra-articular ligament (anterior cruciate ligament) MRI, but superior to MRI in displaying synovial blood vessels . Conclusions: High-frequency color Doppler ultrasound and MRI are valuable in the diagnosis of knee osteoarthritis. They have advantages in terms of ligaments and synovial blood vessels in the joints and can complement each other. However, color Doppler ultrasound is convenient, inexpensive, real-time and non-invasive, Preferred screening method.