正常前交叉韧带高频超声和MRI测量对照分析

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (1912 KB) RICH HTML
输出: BibTeX | EndNote (RIS)

摘要目的探讨应用高频超声测量前交叉韧带(anterior cruciate ligament, ACL)厚径的可行性及准确性。方法选择2015-01至2015-09现役男性军人健康志愿者30名,分别应用高频超声及MRI测量右膝关节ACL胫骨止点端厚径。对比分析两名不同医师应用高频超声测量ACL厚径的结果,再对比分析应用高频超声及MRI测量ACL厚径的结果。结果两名医师应用高频超声测量ACL厚径具有较好的一致性及可重复性,其组内相关系数ICC=0.934,95%区间为(0.867,0.968);使用Bland-Altman法分析:两位医师测量ACL厚径差值(mm)均值为-0.04,95%区间为(-0.55,0.47)。应用高频超声与MRI测量ACL厚径具有较好的一致性,提示两种方式是可替代的;其组内相关系数ICC=0.914,95%区间为(0.822,0.959);使用Bland-Altman法分析:应用高频超声与MRI测量ACL厚径差值(mm)均值为0.04,95%区间为(-0.62,0.70)。结论高频超声可作为测量膝关节ACL厚径的常规方法。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	席晓萍
	闫玮
	丁雪
	徐闻
	张怡靓
	刘锐洪

关键词 ：前交叉韧带, 高频超声, 核磁共振成像

Abstract：Objective To test if the thickness of normal anterior cruciate ligament (ACL) can be measured by high frequency ultrasound(US). Methods The thickness of ACL near tibial insertion site was measured by US and magnetic resonance imaging(MRI) in 30 normal right knees of young male soldiers. The thickness of ACL near tibial insertion site which was measured by two different radiologists by US were compared and analysed. The thickness of ACL near tibial insertion site which was measured by US and MRI were compared and analysed. Results The intraclass correlation coefficient for these 2 radiologists was 0.934(95% CI:0.867 to 0.968) and Bland Altman plot showed that the mean difference was -0.04 ( 95% CI:-0.55 to 0.47 ), indicating a very strong agreement between these 2 radiologists in measuring the thickness of ACL by US. The intraclass correlation coefficient for US and MRI was 0.914 (95% CI:0.822 to 0.959) and Bland Altman plot showed the mean difference was 0.04 (95% CI:-0.62 to 0.70), indicating a very strong agreement between these 2 methods in measuring the thickness of ACL. Conclusions High frequency ultrasound can be used as a conventional method for measuring the thickness of ACL.

Key words： anterior cruciate ligament high frequency ultrasound magnetic resonance imaging

收稿日期: 2015-10-10

ZTFLH:

R445.1

作者简介: 席晓萍,本科学历,副主任医师。

引用本文:

席晓萍, 闫玮, 丁雪, 徐闻, 张怡靓, 刘锐洪. 正常前交叉韧带高频超声和MRI测量对照分析[J]. 武警医学, 2016, 27(3): 277-280. XI Xiaoping, YAN Wei,DING Xue,XU Wen,ZHANG Yiliang,and LIU Ruihong. Comparion of high frequency ultrasound imaging and magnetic resonance imaging in measurement of normal anterior cruciate ligament. Med. J. Chin. Peop. Armed Poli. Forc., 2016, 27(3): 277-280.

链接本文:

http://journal08.magtechjournal.com/Jwk_wjyx/CN/ 或 http://journal08.magtechjournal.com/Jwk_wjyx/CN/Y2016/V27/I3/277

[1]	Van Dyck P, De Smet E, Veryser J, et al. Partial tear of the anterior cruciate ligament of the knee: injury patterns on MRI imaging[J]. Knee Surg Sports Traumatol Arthrosc, 2012,20(2):256-261.
[2]	陈一武,王晓刚,施晓琳,等.高频超声在胸背部肌骨中的应用进展[J].医学综述,2014,20(10):1799-1803.
[3]	雷志辉,王少特,金鹏,等. 军事训练致膝关节滑膜炎的高频超声诊断[J].武警医学,2014,25(6):554-556.
[4]	Grzelak P, Podgórski M T, Stefańczyk L,et al.Ultrasonographic test for complete anterior cruciate ligament injury [J].Indian J Orthop. 2015,49(2):143-149.
[5]	陈君洁,梁峭嵘,刘照宏,等. 高频超声膝关节前交叉韧带损伤分级诊断与关节镜对比研究[J].中国中西医结合影像学杂志,2012,10(4):314-315.
[6]	Sutton K M, Bullock J M. Anterior cruciate ligament rupture: differences between males and females[J]. J Am Acad Orthop Surg,2013,21(1):41-50.
[7]	Ng A W, Lee R K, Ho E P, et al. Anterior cruciate ligament bundle measurement by MRII[J]. Skeletal Radiol,2013,42(11):1549-1554.
[8]	王晓宇,杨柳,陈伟,等. 膝关节前交叉韧带解剖测量和M RI测量对照分析[J].重庆医学,2006,35(13):1171-1173.
[9]	Nam T S, Kim M K, Ahn J H, et al. Efficacy of magnetic resonance imaging evaluation for meniscal tear in acute anterior cruciate ligament injuries[J].Arthroscopy,2014,30(4):475-482.
[10]	何国超, 汪青春,向孝兵,等.前交叉韧带胫骨附着处临床解剖学研究[J].中国临床解剖学杂志,2011,29(2):155-158.
[11]	Tate C M, Williams G N, Barrance P J, et al. Lower extremity muscle morphology in young athletes: an MRII-based analysis[J]. Med Sci Sports Exerc, 2006, 38(1):122-128.