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半月板损伤较常见,自1989年4月～1995年10月我院收治半月板损伤278例,CT确诊169例(60.8％),本文就CT扫描在半月板损伤中的诊断价值评析如下。 1 临床资料 1.1 一般资料:本组278例。男143例,女135例,年龄7～45岁.平均33岁,病程1～7年;有外伤史214例,无明显外伤史64例;左86例,右192例;外侧半月权293例,内侧半月板61例,盘状半月板24例;CT检查无异常而根据临床症状和体征高度怀疑109例,CT确诊169例。 1.2 临床表现:症状包括外伤史、疼痛、弹响、滑落感、打软腿、绞锁等。体征包括股四头肌萎缩、关节间压痛和回旋挤压试验阳性等。重复检查恒定均行CT检查,见表1。
Meniscus injury is more common. From April 1989 to October 1995, 278 cases of meniscus injuries and 169 cases of CT were diagnosed in our hospital (60.8%). The diagnostic value of CT in the diagnosis of meniscus injury is as follows. 1 clinical data 1.1 General Information: This group of 278 cases. 143 males and 135 females, aged 7 to 45 years old with an average of 33 years of age, duration of 1 to 7 years; history of trauma 214 cases, no obvious history of trauma 64 cases; left 86 cases, right 192 cases; , 61 cases of medial meniscus and 24 cases of discoid meniscus. There were no abnormality in CT examination, 109 cases were highly suspected based on clinical symptoms and signs, and 169 cases were confirmed by CT. 1.2 Clinical manifestations: symptoms include trauma history, pain, snapping, slipping feeling, playing soft legs, twisting locks and so on. Signs include quadriceps femoris atrophy, joint tenderness and malaria crush test positive. Repeat check constant CT scan, see Table 1.