| 摘要: |
| 【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。 |
| 关键词: Ilizarov骨搬移术 新生骨痂 高频超声 X线 |
| DOI： |
| 投稿时间：2021-03-07修订日期：2021-04-22 |
| 基金项目:山西省卫生健康委科研课题，2018058，超声联合肌电图在臂丛神经损伤诊断中的应用价值 |
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| Study on the monitoring value of ultrasound combined with X-ray in the removal area after Ilizarov bone removal |
| Feng yifan,Zhou Xin,Zhang Jin,Yao Ting,Shi Ying |
| (Shanxi Medical University;The Second Affiliated Hospital of Shanxi Medical University) |
| Abstract: |
| [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. |
| Key words: Ilizarov bone removal new callus high frequency ultrasound X-ray |
