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[1]徐萍萍,朱艷麗.膝骨關(guān)節(jié)炎MRI分級的臨床應(yīng)用價(jià)值[J].中醫(yī)正骨,2022,34(04):30-32.
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膝骨關(guān)節(jié)炎MRI分級的臨床應(yīng)用價(jià)值()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數(shù):
2022年04期
頁碼:
30-32
欄目:
影像診斷
出版日期:
2022-04-20

文章信息/Info

作者:
徐萍萍朱艷麗
(義烏市中心醫(yī)院,浙江 義烏 322000)
關(guān)鍵詞:
骨關(guān)節(jié)炎 磁共振成像 放射攝影術(shù)
摘要:
目的:探討膝骨關(guān)節(jié)炎(knee osteoarthritis,KOA)MRI分級的臨床應(yīng)用價(jià)值。方法:選擇2020年1月至2021年1月在義烏市中心醫(yī)院住院治療的136例KOA患者(178膝)的病例資料進(jìn)行研究。由2名影像專業(yè)副主任醫(yī)師單獨(dú)閱片進(jìn)行病情影像學(xué)分級,X線分級采用Kellgren-Lawrence分級標(biāo)準(zhǔn),MRI分級采用Park分級標(biāo)準(zhǔn)。結(jié)果:根據(jù)X線表現(xiàn),136例KOA患者中0級16膝、1級34膝、2級28膝、3級40膝、4級60膝。2名醫(yī)師對136例KOA患者的MRI分級結(jié)果分別為0級16膝、1級30膝、2級28膝、3級42膝、4級62膝,0級14膝、1級32膝、2級30膝、3級42膝、4級60膝。2名醫(yī)師對患者的MRI分級結(jié)果與X線分級結(jié)果的一致性均較好(Kappa=0.814,P=0.002; Kappa=0.784,P=0.000),2名醫(yī)師對患者的MRI分級結(jié)果的一致性也較好(Kappa=0.898,P=0.000)。結(jié)論:基于MRI分級能夠準(zhǔn)確評估KOA患者的病情嚴(yán)重程度,其具有較高的可靠性和可重復(fù)性。

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更新日期/Last Update: 1900-01-01