Lupi L, Bighi S, Limone G L, Cervi P M, Merlo L
Servizio di Radiologia, Arcispedale S. Anna, Ferrara.
Radiol Med. 1989 Jun;77(6):638-42.
The authors performed a statistical study on a series of 1000 patients examined with double-contrast fluoroscopically-guided knee arthrography. Arthrographic diagnoses were compared with the arthrotomic (500 patients), arthroscopic (350 patients) or clinical diagnoses of 150 patients with a follow-up of 6 months. In this series of patients with a history of "recurrent meniscal injury", arthrographic diagnoses were confirmed in a high percentage of cases, with 96.9% accuracy, 96.7% sensitivity for tears, and 98.6% specificity. On the basis of these results the authors suggest double-contrast arthrography as an examination of considerable value in the diagnosis of meniscal lesions, while in their opinion arthroscopy should be limited to questionable cases, to complex lesions with involvement of multiple articular structure and to the alterations clearly treatable by arthroscopy.
作者对1000例接受双对比荧光镜引导下膝关节造影检查的患者进行了一项统计研究。将关节造影诊断结果与关节切开术（500例患者）、关节镜检查（350例患者）的诊断结果进行比较，或与150例随访6个月患者的临床诊断结果进行比较。在这组有“复发性半月板损伤”病史的患者中，关节造影诊断在高比例病例中得到证实，准确率为96.9%，撕裂伤的敏感度为96.7%，特异度为98.6%。基于这些结果，作者认为双对比关节造影是一种在半月板损伤诊断中具有重要价值的检查方法，而他们认为关节镜检查应限于可疑病例、涉及多个关节结构的复杂病变以及可通过关节镜明确治疗的病变。
