影像科学与光化学 ›› 2022, Vol. 40 ›› Issue (4): 971-975.DOI: 10.7517/issn.1674-0475.220142

• 综述与论文 • 上一篇    下一篇

MSCT联合MRI在马拉松运动员膝关节损伤诊断中的应用

任海娟1, 魏剑波1, 刘颖2, 陈建新3   

  1. 1. 郑州西亚斯学院体育科研创新中心, 河南 郑州 451100;
    2. 通许第一医院心血管内科, 河南 通许 475499;
    3. 通许第一医院骨伤科, 河南 通许 475499
  • 收稿日期:2022-01-19 发布日期:2022-07-09
  • 通讯作者: 刘颖
  • 基金资助:
    河南省民办教育协会课题(HMXJ20120075)

Application of MSCT Combined with MRI in the Diagnosis of Knee Joint Injuries in Marathon Athletes

REN Haijuan1, WEI Jianbo1, LIU Ying2, CHEN Jianxin3   

  1. 1. Sports Research Innovation Center, Sias University, Zhengzhou 451100, Henan, P. R. China;
    2. Cardiology Department, Tong Xu First Hospital, Tongxu 475499, Henan, P. R. China;
    3. Orthopedics and Traumatology, Tong Xu First Hospital, Tongxu 475499, Henan, P. R. China
  • Received:2022-01-19 Published:2022-07-09

摘要: 探究多层螺旋CT (MSCT)联合磁共振成像(MRI)诊断马拉松运动员膝关节损伤的价值。选取95例马拉松运动员膝关节损伤患者为研究对象,均行MSCT、MRI检查。结果显示,以关节镜检查或手术结果作为"金标准",MSCT、MRI单独诊断马拉松运动员膝关节损伤类型的准确率分别为86.32%、93.68%,联合诊断的准确率达到100.00%;MSCT联合MRI诊断膝关节韧带损伤分级、半月板损伤分级与关节镜检查或手术结果的一致性Kappa值分别为0.944、0.933;与关节镜检查或手术结果比较,MSCT、MRI联合诊断马拉松运动员膝关节隐匿性骨折部位的准确度为100.00%。因此,MSCT联合MRI影像技术在马拉松运动员膝关节损伤类型诊断方面具有很高的准确度,且能进一步准确评估膝关节韧带损伤分级、半月板损伤分级、隐匿性骨折部位。

关键词: 马拉松, 膝关节损伤, 多层螺旋CT, 磁共振成像

Abstract: This paper explored the value of multi-slice spiral CT (MSCT) combined with magnetic resonance imaging (MRI) in the diagnosis of knee injuries in marathon runners. 95 patients with knee injuries of marathon runners were selected as research subjects, and all underwent MSCT and MRI examinations. The results showed that with the results of arthroscopy or surgery as the "gold standard", the accuracy rates of MSCT and MRI alone in diagnosing the types of knee injuries in marathon runners were 86.32% and 93.68%, respectively, and the accuracy rate of combined diagnosis reached 100.00%. The Kappa values of MSCT combined with MRI for the grading of knee ligament injury, meniscus injury and the results of arthroscopy or surgery were 0.944 and 0.933, respectively. Compared with the results of arthroscopy or surgery, the accuracy of MSCT combined with MRI to diagnose occult knee fractures in marathon runners is 100.00%. It can be seen that MSCT combined with MRI imaging technology has a high accuracy in diagnosing the types of knee injuries in marathon runners, and can further accurately assess the classification of knee ligament injury, meniscus injury, and occult fracture sites.

Key words: marathon, knee joint injury, multi-slice spiral CT, magnetic resonance imaging