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山西医科大学
纸质出版日期:2022,
网络出版日期:2022-3-2,
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冯一帆, 周鑫, 张进, 等. 超声联合X线对Ilizarov骨搬移术后搬移区的监测价值研究[J]. 临床超声医学杂志, 2022,24(2).
Study on the monitoring value of ultrasound combined with X-ray in the removal area after Ilizarov bone removal[J]. Journal of Clinical Ultrasound in Medicine, 2022,24(2).
【摘要】目的:为行Ilizarov骨搬移术的患者术后找到一种长期且有效的影像学监测手段,提高骨延长成功率。方法:对19例接受Ilizarov骨搬移术的患者分别在第1周、第3-4周、第6-8周、第14-16周及第24周行高频超声检查、X线检查和临床评估,在超声声像图及X线平片上观察新生骨痂形态、密度,对新生骨痂量做半定量分析、测量搬移距离并做对比。结果:超声与X线对新生骨痂的半定量评分随时间变化趋势不同,认为在第1周、第3-4周、第6-8周、第24周超声与X线显示骨痂填充量的差异具有统计学意义(P<0.05),在第14-16周超声与X线显示骨痂填充量的差异不具有统计学意义(P> 0.05)。在第1周、第3-4周、第6-8周、第14-16周,超声与X线对搬移区距离的测量值差异不明显,第24周,二者对搬移区长度的测量值产生明显差异。结论:与X线相比,高频超声在未矿化的更早期可以观测到新生骨痂,但在矿化后期提示作用有限,可以把超声联合X线作为Ilizarov骨搬移术后一种长期的常规监测手段。
[Abstract] Objective: To find a long-term and effective imaging monitoring method for patients undergoing Ilizarov bone removal surgery
so as to improve the success rate of bone elongation.Methods: 19 cases of in patients undergoing the Ilizarov bone removal technique in week 1
3-4 weeks
6 to 8 weeks
14-16 weeks and 24 go high frequency ultrasound
X-ray and clinical assessment
and X-ray plain film in sonographic findings was observed on new bone scab
morphology
density of new bone scabs do semi-quantitative analysis
measure the moving distance and make a contrast.Results: ultrasound and X-ray of new bone scabs semi-quantitative score trends over time
believe in week 1
3-4 weeks
6 to 8 weeks
24 weeks ultrasonic and X-ray shows callus filling quantity differences statistically significant (P < 0.05) in 14-16 weeks ultrasonic and X-ray showed no statistically significant difference in callus filling quantity (P > 0.05).At the first week
3-4 weeks
6-8 weeks and 14-16 weeks
there was no significant difference between the measured values of the distance of the moving area measured by ultrasound and X-ray. At the 24th week
there was significant difference between the measured values of the length of the moving area measured by ultrasound and X-ray.Conclusion: Compared with X-ray
high-frequency ultrasound can detect new callus in the early stage of non-mineralization
but the effect of high-frequency ultrasound is limited in the later stage of mineralization. Therefore
ultrasound combined with X-ray can be used as a long-term routine monitoring method after Ilizarov bone removal.
Ilizarov骨搬移术 新生骨痂 高频超声 X线
Ilizarov bone removal new callus high frequency ultrasound X-ray
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