目的探讨外侧半月板和膝外下动脉解剖关系的磁共振成像(MRI)表现及临床意义。方法对78例膝关节患者行MRI检查,且以MRI冠状面的腘肌腱层为起始点,向前测量5~7个层面,检测膝外下动脉到外侧半月板的水平和垂直距离,与尸体标本解剖学比较,总结MRI影像学表现和诊断价值。结果78例患者经MRI检测,膝外下动脉的走行较为固定,且与膝关节尸体标本检测大体一致;腘肌腱层,97.4%(76/78)的膝外下动脉开始紧贴外侧半月板,位于其下方或下缘,平均距离1.5 mm(0~5 mm);伴随层面向前,膝外下动脉也紧贴半月板体部沿后下方向前上方走行;在半月板前体位置处,88.5%(69/78)的膝外下动脉位于外侧半月板中部及以上;在半月板前角和脂肪垫位置,100.0%(78/78)的膝外下动脉位于外侧半月板上方,平均距离8.5 mm(1~15 mm);在外侧半月板体部,膝外下动脉距外侧半月板的平均水平距离是0.7 mm(0~3 mm)。结论膝外下动脉距外侧半月板体部距离很近,关节镜手术时应高度重视,切勿损伤该动脉,以减少并发症。
ObjectiveTo study the magnetic resonance imaging (MRI) relations expression and its clinical significance of anatomy relationship of the lateral meniscus and inferior genicular artery. MethodsSeventyeight patients with knee disease were performed with MRI examination. With coronal hamstring layer as a starting point, 5-7 levels ahead were measured, and horizontal and vertical distances between inferior genicular artery and the lateral meniscus were detected, and compared with cadaveric anatomy. Their MRI imaging manifestations and diagnostic value were assessed. ResultsInferior genicular arteries of 78 patients were detected by MRI in relatively fixed track, and generally consistent with the detection of knee joint specimens; In popliteal tendon layer, 97.4% (76/78) of inferior genicular arteries began to get close to the lateral meniscus, on below or the lower edge, with an average distance of 1.5mm (0-5 mm); As level moved forward, the knee artery was close to the body of the meniscus after walking forward along the lower back; In body position in meniscus anterior, 88.5% (69/78) of inferior genicular arteries were located in the middle and above of lateral meniscus; In the anterior horn of the meniscus and fat pad position, 100% (78/78) of inferior genicular arteries were placed above the lateral meniscus, and the average distance was 8.5mm (1-15 mm); In the lateral meniscus body, the average level distance of inferior genicular artery from the lateral meniscus was 0.7mm (0-3 mm). ConclusionDistance from inferior genicular artery to the lateral meniscus body is very close. It deserves a high attention during arthroscopic operation to avoid damage to infer ior genicular artery, hence to decrease the occurrence of complication.