影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (2): 387-391.DOI: 10.7517/issn.1674-0475.210922

• 综述与论文 • 上一篇    下一篇

MRI在尺骨撞击综合征中的诊断及与腕关节镜的一致性研究

孙炜1, 韩友东2   

  1. 1. 济宁医学院基础医学院, 山东 日照 276826;
    2. 济宁医学院附属医院, 山东 济宁 272029
  • 收稿日期:2021-09-22 出版日期:2022-03-15 发布日期:2022-03-08
  • 通讯作者: 孙炜

Diagnosis of MRI in Ulnar Impingement Syndrome and Its Consistency with Wrist Arthroscopy

SUN Wei1, HAN Youdong2   

  1. 1. College of Basic Medicine, Jining Medical University, Rizhao 276826, Shandong, P. R. China;
    2. Affiliated Hospital of Jining Medical University, Jining 272029, Shandong, P. R. China
  • Received:2021-09-22 Online:2022-03-15 Published:2022-03-08

摘要: 本文探讨磁共振成像(MRI)在尺骨撞击综合征中的诊断及与腕关节镜的一致性。92例尺骨撞击综合征(UIS)患者均行MRI、腕关节镜检查,统计腕关节镜诊断UIS情况、MRI诊断UIS软骨损伤程度与腕关节镜的一致性及诊断UIS中三角纤维软骨盘损伤程度的准确率,MRI检测显示,92例UIS患者尺骨阳性变异56例(60.87%),尺骨阴性变异16例(17.39%),尺骨中性变异20例(21.74%),诊断UIS准确率为96.74%;MRI诊断UIS软骨损伤程度与腕关节镜的Kappa值为0.918(P<0.05);MRI诊断UIS中三角纤维软骨盘损伤程度整体准确率为93.48%。可见,MRI能早期准确发现UIS患者三角纤维软骨盘、月骨尺侧面、尺骨头、三角骨桡侧面的损伤与范围,在诊断软骨损伤时与腕关节镜具有较高的一致性。

关键词: 磁共振成像, 尺骨撞击综合征, 诊断价值, 腕关节镜

Abstract: The purpose of this article is to investigate the diagnosis of magnetic resonance technology (MRI) in ulnar impingement syndrome and its consistency with wrist arthroscopy, so as to provide reference for clinical diagnosis and treatment. All 92 patients with ulnar impingement syndrome (UIS) underwent MRI and wrist arthroscopy. Statistics on the diagnosis of UIS by wrist arthroscopy, the consistency of the degree of cartilage damage in the MRI diagnosis of UIS with wrist arthroscopy, and the degree of triangular fibrocartilage disc damage in the diagnosis of UIS The accuracy rate of MRI showed that there were 56 cases (60.87%) of ulnar positive variants in 92 UIS patients, 16 cases of ulnar negative variants (17.39%), and 20 cases of ulnar neutral variants (21.74%). The diagnostic accuracy rate of UIS was 96.74%. The Kappa value of MRI diagnosis of UIS cartilage damage and wrist arthroscopy was 0.918 (P<0.05). The overall accuracy of MRI diagnosis of the damage of the triangular fibrocartilage disc in UIS was 93.48%. It can be seen that MRI can accurately detect the damage and extent of the triangular fibrocartilage disc, the ulnar side of the lunar bone, the ulnar head, and the radial side of the triangle bone in the early stage. The diagnosis of cartilage damage is consistent with the wrist arthroscopy.

Key words: magnetic resonance imaging, ulnar impingement syndrome, diagnostic value, wrist arthroscopy