Sohn C, Gerngross H, Bähren W, Swobodnik W
Ultraschall Med. 1987 Feb;8(1):32-6. doi: 10.1055/s-2007-1011654.
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.
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。