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关节造影在膝关节内部紊乱治疗中的价值:前1000例情况最差。

The value or arthrography in the management of internal derangements of the knee: the first 1000 are the worst.

作者信息

Stoker D J, Renton P, Fulton A

出版信息

Clin Radiol. 1981 Sep;32(5):557-66. doi: 10.1016/s0009-9260(81)80187-0.

DOI:10.1016/s0009-9260(81)80187-0
PMID:6895057
Abstract

The acceptance of arthrography of the knee as an accurate diagnostic procedure by both radiologists and orthopaedic surgeons in the United Kingdom has been slow compared to many other parts of the world. The value of arthrography in the diagnosis of meniscal lesions is discussed with reference to the first 1000 documented cases in the authors' series. It is considered that the results obtained from such early experience is more relevant to those about to start as an arthrographic service. Problems in clinical, arthrographic and arthroscopic diagnosis are discussed. Arthrography constitutes an accurate method of diagnosing such lesions and should be employed whenever clinical doubt about the diagnosis of an internal derangement of the knee is encountered. In a selected group of 137 patients, in whom both arthrography and arthroscopy was performed, the two investigations showed a comparable accuracy of 89.8 and 88.3% respectively.

摘要

与世界上许多其他地区相比,在英国放射科医生和骨科医生对膝关节造影作为一种准确诊断方法的接受过程较为缓慢。参照作者系列中记录的前1000例病例,讨论了关节造影在半月板损伤诊断中的价值。认为从这种早期经验中获得的结果与那些即将开展关节造影服务的人员更为相关。讨论了临床、关节造影和关节镜诊断中的问题。关节造影是诊断此类损伤的一种准确方法,每当遇到对膝关节内部紊乱诊断存在临床疑问时都应采用。在一组137例同时进行了关节造影和关节镜检查的患者中,两项检查的准确率分别为89.8%和88.3%,具有可比性。

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引用本文的文献

1
Accuracy of double-contrast arthrography and arthroscopy of the knee joint.
Skeletal Radiol. 1982;8(3):187-92. doi: 10.1007/BF00355504.
2
Meniscal tears on knee arthrography: patterns of arthrographic abnormalities.膝关节造影术中的半月板撕裂:造影异常模式
Skeletal Radiol. 1985;14(4):280-5. doi: 10.1007/BF00352620.
3
The place of arthrography in the diagnosis and management of meniscal injuries--a 6-year review.关节造影术在半月板损伤诊断与处理中的应用——一项为期6年的回顾
J R Soc Med. 1991 Mar;84(3):133-5. doi: 10.1177/014107689108400306.