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应用高频超声评估儿童股骨骨折牵引治疗的疗效
High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures
- 第三军医大学学报 2019年41卷第21期 页码：2087-2093
- 作者机构：
400014 重庆，重庆医科大学附属儿童医院骨一科，儿童发育疾病研究教育部重点实验室，儿童发育重大疾病国家国际科技合作基地，儿科学重庆市重点实验室
- 作者简介：
[刘星，E-mail:liuxingda@126.comLIU Xing, E-mail: liuxingda@126.com
- 基金信息：重庆市自然科学基金(CSTC2018jcyjAX0.259);重庆市卫健委重点项目(2019ZDXM047)
DOI：10.16016/j.1000-5404.201906035
中图分类号： R445.1;R454.4;R683.42收稿：2019-06-06，
修回：2019-09-06，
纸质出版：2019-11-15
- 稿件说明：
移动端阅览
陈俊, 刘星, 张润, 等. 应用高频超声评估儿童股骨骨折牵引治疗的疗效[J]. 第三军医大学学报, 2019,41(21):2087-2093.
Jun CHEN, Xing LIU, Run ZHANG, et al. High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures[J]. Journal of Third Military Medical University, 2019, 41(21): 2087-2093.
陈俊, 刘星, 张润, 等. 应用高频超声评估儿童股骨骨折牵引治疗的疗效[J]. 第三军医大学学报, 2019,41(21):2087-2093. DOI： 10.16016/j.1000-5404.201906035.
Jun CHEN, Xing LIU, Run ZHANG, et al. High frequency ultrasound in evaluation of traction efficacy among children with femoral fractures[J]. Journal of Third Military Medical University, 2019, 41(21): 2087-2093. DOI： 10.16016/j.1000-5404.201906035.
摘要
目的
2
探讨高频超声动态评估儿童股骨骨折前及治疗后疗效的应用价值。
方法
2
利用高频超声和X线检查同时对62例行牵引治疗的股骨骨折患儿在伤后第1、2、3、4周进行随访观察，观察骨折周围软组织损伤(如肌肉、血管等)情况，骨折的成角、移位情况及骨痂周围血供(测量血流阻力指数RI)及骨痂长度和厚度，对比两者之间首次检测到骨痂的时间及骨痂长度、厚度显示情况。
结果
2
超声和X线最早显示骨痂时间对比具有统计学差异(
P
<
0.05)，提示高频超声对于骨痂形成的显示早于X线检查；在第2、3周检查骨痂长度及厚度，超声和X线存在统计学差异(
P
<
0.05)，提示高频超声显示的骨痂厚度及长度大于X线；与X线检查相比，第4周时超声的骨痂显示量没有统计学差异。
结论
2
高频超声能动态显示骨折对位对线情况，早期显示骨折断端周围软组织损伤(如肌肉、血管等)及骨痂的生长情况，且高频超声与X线在检测骨性骨痂的应用中具有一致性，是一种安全无辐射的骨骼系统检查方法。
Abstract
Objective
2
To explore the application of high frequency ultrasound in evaluation of traction treatment for femoral fracture in children.
Methods
2
A total of 62 children with femoral fracture and undergoing traction treatment in our department from March 2017 to December 2018 were recruited in this study. High frequency ultrasound and X-ray plain filming were used respectively to detect them at admission and at 1
2
3 and 4 weeks after the initial fracture occurred. The soft tissue injury (muscles and vessels) around the fracture
angle and displacement of the fracture
blood supply around the osteotylus (resistance index
RI)
and length and thickness of the osteotylus during fracture healing were observed and monitored. The results obtained by ultrasound were compared with X-ray in terms of the time of the first detection of osteotylus and the size of the osteotylus.
Results
2
Ultrasound and X-ray showed statistically significant difference in the first indication of callus (
P
<
0.05)
with that of former earlier. In the 2nd and 3rd weeks
statistical differences were seen in length and thickness of the osteotylus between the ultrasound and X-ray examination (
P
<
0.05)
with those of ultrasound longer and thicker. But no such differences were observed at the 4th week between the 2 methods.
Conclusion
2
High frequency ultrasound can dynamically present the fracture line
and early display the damage of soft tissue (such as muscles
blood vessels
etc.) around the fracture site and the growth of the osteotylus. High frequency ultrasound has consistent results with X-ray examination in the detection of bony callus
and is a safe non-radiative skeletal system examination.
关键词
Keywords
references
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