3.0T MRI 在腕关节不稳患者近侧列腕骨间韧带损伤早期诊断中的应用
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2016 年度河北省医学科学研究重点课题计划(No :20160328)


Application of 3.0T MRI in early diagnosis of carpal tunnel injury in patients with carpal instability
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    摘要:

    目的 研究3.0T MRI 在腕关节不稳患者近侧列腕骨间韧带损伤早期诊断中的应用。方法 选取2015 年1 月-2017 年1 月在本院初诊腕关节不稳患者120 例为实验组,另招募本院30 例健康体检的成年志愿者为对照组,均行高场强3.0T MRI 扫描,对扫描结果进行比较。结果 ①观察组与对照组受检腕关节的舟月韧带、月三角韧带MRI 信号强度比较,差异有统计学意义(P <0.05);②实验组与对照组进行可重复性测量的误差比较,观察组与对照组个体间的误差,差异有统计学意义(P <0.05),且观察组低于对照组,差异有统计学意义(P <0.05);③观察组与对照组的腕骨体积测量结果比较,观察组测量体积与对照组无差异(P >0.05);④观察组与对 照组各位置间舟月骨的间距动态MRI 变化比较,差异无统计学意义(P >0.05)。结论 对腕关节进行冠状位、矢状位及轴位多方位扫描,能观察患者腕关节内韧带损伤情况并作出早期诊断,为手外科医生采取治疗措施提供重要依据。

    Abstract:

    Objective To investigate the application of 3.0T MRI in the early diagnosis of carpal ligament injury in patients with carpal instability. Methods Totally 120 cases admitted into our hospital from January 2015 to January 2017 with diagnosis of carpal instability were included in this study as experimental group. Another 30 cases of healthy volunteers were included as control group. All subjects were treated with 3.0T high field magnetic resonance scanning. Results MRI signal intensity of wrist scapholunate ligament and april triangular ligament was significantly higher in experimental group compared tocompared with control group (P < 0.05). Comparison was made between the two groups for error in repeatability measurement, comparison of experimental group was significantly lower than the control group, which was statistically significant (P < 0.05). Two groups of carpal bone volume measurement results showed that there was no difference between them (P > 0.05). There was no difference for each position of scapholunate interval in dynamic MRI value (P > 0.05). Conclusion Coronal of wrist joint axial,sagittal, multi-directional scanning, which can observe the injury of ligament in wrist joint and make early diagnosis,can provide an important basis for the treatment of hand surgeons.

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王志利,徐丹凤,吉幸双,赵树军,刘兵.3.0T MRI 在腕关节不稳患者近侧列腕骨间韧带损伤早期诊断中的应用[J].中国现代医学杂志,2018,(6):81-84

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  • 收稿日期:2017-05-23
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  • 在线发布日期: 2018-02-28
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