Corbetti F, Tomasella G
II Servizio Radiologico, Ospedale Civile, Padova.
Radiol Med. 1989 Mar;77(3):187-94.
In order to evaluate the diagnostic capabilities of sonography (US) in meniscal lesions of the knee, 65 unquestionable cases of meniscopathy at arthrography were studied with high-resolution US. In 92% of the cases, inhomogeneous echo structure was demonstrated in correspondence with pathological meniscus, with irregular hyperechoic areas and, in some cases, with hyperechoic lines corresponding to the tear. 40% of patients presented with tumefaction and external bulging of the parameniscal region, while in 87% of the cases the articular capsule was thickened. These results confirm that, as reported by some authors, US is a promising method for the study of meniscopathies. We therefore believe that US could nowadays be at least employed as a complement to clinical examination, while its diagnostic capabilities are further assessed through other studies.
为了评估超声检查(US)对膝关节半月板损伤的诊断能力,我们对65例经关节造影确诊为半月板病变的病例进行了高分辨率超声研究。在92%的病例中,与病理性半月板相对应的区域显示出不均匀的回声结构,伴有不规则的高回声区,在某些情况下,还有与撕裂相对应的高回声线。40%的患者出现半月板旁区域肿胀和向外膨出,而87%的病例关节囊增厚。这些结果证实,正如一些作者所报道的,超声检查是研究半月板病变的一种有前景的方法。因此,我们认为如今超声检查至少可以作为临床检查的补充手段,同时通过其他研究进一步评估其诊断能力。