多序列优化mri对膝关节骨性关节炎关节置换术前评估-(1723)

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1、宁夏医科大学硕士学位论文中文摘要MultiplesequenceoptimizationassessmentbeforeMRIforkneeosteoarthritisjointreplacementABSTRACTPart1:Thediagnosisvalueof3.0TMRinkneejointosteoarthritisclassificationObjectives(1)TostudypatientsforX-rayandMRIwithOA,bymeansoftheclassifywecanr

2、esearchOApatient’scartilageinjuryattheinsideoftheroom,outsideroomandpatellofemoralarticularindifferentperiods,andprovidetheappropriateimagingexaminationmethodtotheevaluationbeforetheoperationforseverepatients.Methods(1)36patientswithOAbetweenSeptember20

3、13toSeptember2013inNingxiaPeople'sHospitalwhodidX-rayandsequenceoptimizationofMRI.AndallpatientswereunderPhilipsDRandGE3.0TMRImachinehadbechoesd.WegetXrayfilmpositivesideoftheimageandmultiplesequenceMRIimage.AndtheimageswillbeanalysedbytheGEADW4.5workst

4、ation.FinallywewillusingSPSS17.5softwareforstatisticalanalysisoftheresearchobject.Results(1)insideandoutsidethekneejointofX-rayandMRIclassificationresultsshowthatthelateraldifferencebetweenjointsandtheinsideofthejointhavethestatisticalsignificance（P<0.0

5、5）andsignificantstatisticallysignificant（P<0.01）(2)InsideandoutsidekneeOApatientsandpatellofemoraljointX-rayandMRIhavesignificantstatisticalsignificancedifference(P<0.01)(3)TwokindsofclassificationmethodofOAinpatientswithmedialjointareconsistentwithmode

6、rate（0.40＜κ≤0.60）;Pooruniformityofthelateraljointandpatellarjointtwogradingmethod（κ≤0.40）Conclusion(1)X-rayregardshighlyasaclassificationdiagnosisforseverepatients.ForoperatingTKAsurgery,wecanmakeapreoperativeassessmentbymeansofX-rayinspectiona ndclinic

7、alsituationsforthedoublediseaseosteoarthritispatientwhowanttosavecostoftreaⅢ万方数据宁夏医科大学硕士学位论文中文摘要tment.(2)Intheclinical,wealwayssuggestfurtherlinesofMRI,whenmakingaclassificationevaluationforOApatientwhoseX-rayshowsnotparticularlysevere,atleastonesidecom

8、partmentdegeneration.Notonlyitcandisplaythecruciateligamentfunction,butalsofurthertoobserveandevaluatethelateraljointpatellofemoralarticularcartilage.Part2:3.0TMRIquantitativetechniquesforkneeosteoarthritisassessmentbeforetherepl