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[半月板超声检查——侵入性半月板诊断的替代方法?]

[Meniscus sonography--alternative to invasive meniscus diagnosis?].

作者信息

Sohn C, Gerngross H, Bähren W, Danz B

出版信息

Dtsch Med Wochenschr. 1987 Apr 10;112(15):581-4. doi: 10.1055/s-2008-1068101.

Abstract

Sonographic visualization of the meniscus as well as the detection and evaluation of its lesions presupposes use of the 7.5 MHz transducer of a sector scan. All lesions applied by means of a scalpel to cadaver knees could be pictured and evaluated in this way. In a clinical study, there was agreement between sonographic and surgical findings in 86 out of 91 patients (94%). The arthrography carried out in addition in 50 of these patients had a lower precision (88%) than sonography (98%). Agreement between the results of sonography and arthrography was found in 87 out of 98 patients (89%). The complete freedom from risk and high precision support the application of sonography in diagnosis of meniscus lesions. It can thus replace arthrography in this indication.

摘要

半月板的超声可视化以及其损伤的检测和评估需要使用扇形扫描的7.5MHz换能器。通过手术刀施加于尸体膝盖的所有损伤都可以用这种方法进行成像和评估。在一项临床研究中,91例患者中有86例(94%)超声检查结果与手术结果一致。其中50例患者另外进行的关节造影的精确度(88%)低于超声检查(98%)。98例患者中有87例(89%)超声检查结果与关节造影结果一致。超声检查完全无风险且精确度高,这支持其在半月板损伤诊断中的应用。因此,在这一适应症中它可以取代关节造影。

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