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[半月板及其损伤的超声检查]

[Sonography of the meniscus and its lesions].

作者信息

Sohn C, Gerngross H, Bähren W, Swobodnik W

出版信息

Ultraschall Med. 1987 Feb;8(1):32-6. doi: 10.1055/s-2007-1011654.

Abstract

It is the considered opinion of the authors that meniscus sonography can largely replace arthrography. This opinion is based on their detailed examinations and studies. Sonographic visualisation of all lesions produced by a scalpel was demonstrated using knees of corpses. Even cracks having the fineness of a human hair were visualised by sonography. A comparison between sonographic and surgical findings in meniscus lesion yielded in 82 patients an agreement of 95.1%. In 47 patients it was possible to prove that sonography was more accurate than arthrography as far as diagnosis was concerned. A comparison of 94 sonographically and arthrographically established findings yielded agreement in 89% of the cases. Sonography is suitable for meniscus imaging especially on account of the good imaging reproducibility of meniscus morphology; through safe detection of a pathological process in the meniscus; through the safe presentation of lesions; through the accurate imaging of all parts of the meniscus; and, furthermore, through the invaluable advantage of noninvasiveness, freedom from pain and hazards; and, last but not least, rapid manipulation and unlimited repeatability.

摘要

作者们经过深思熟虑后认为,半月板超声检查在很大程度上可以取代关节造影。这一观点基于他们详细的检查和研究。使用尸体膝关节展示了超声对手术刀造成的所有损伤的可视化。即使是像头发丝一样细的裂缝也能通过超声检查看到。对82例半月板损伤患者的超声检查结果与手术结果进行比较,二者的符合率为95.1%。在47例患者中,可以证明就诊断而言,超声检查比关节造影更准确。对94例通过超声和关节造影确定的结果进行比较,89%的病例结果一致。超声检查适用于半月板成像,特别是因为半月板形态的成像再现性良好;能够安全检测半月板的病理过程;能够安全显示损伤;能够准确成像半月板的各个部位;此外,还具有无创、无痛、无风险的宝贵优势;最后但同样重要的是,操作迅速且可无限重复。

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