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目的:探讨X线与磁共振(MRI)检查在腕关节不稳定诊断中的应用价值。方法:选取在广州医科大学附属第三医院进行治疗的腕关节不稳定患者74例,按随机数表法分为两组,各37例。对照组实施X线检查,观察组采用X线联合MRI检查,比较两组检出率、敏感性及影像学特征。结果:观察组检出率及敏感性(86.49%、86.49%)较对照组(54.05%、54.05%)明显增加,差异具有统计学意义(P<0.05);经影像学分析发现,MRI诊断结果可通过T1信号变化,较为清晰地判断患者腕关节情况,X线可通过正位片和侧位片对病灶进行观察。结论:X线联合MRI检查可提高腕关节不稳定诊断的检出率及敏感性。
Objective: To explore the value of X-ray and magnetic resonance imaging (MRI) in the diagnosis of unstable wrist joint. Methods: Totally 74 patients with unstable wrist treated at the Third Affiliated Hospital of Guangzhou Medical University were divided into two groups (n = 37) according to random number table. The control group underwent X-ray examination, the observation group by X-ray combined with MRI examination, the detection rate, sensitivity and imaging features of the two groups were compared. Results: The detection rate and sensitivity in the observation group (86.49%, 86.49%) were significantly higher than those in the control group (54.05%, 54.05%), the difference was statistically significant (P <0.05) T1 signal changes can be more clearly determine the patient’s wrist condition, X-ray can be through the anteroposterior and lateral slices of the lesion were observed. Conclusion: X-ray combined with MRI can improve the detection rate and sensitivity of unstable wrist diagnosis.