正常成人Lisfranc韧带的解剖学与MRI研究

发布时间：2017-12-30 17:46

本文关键词：正常成人Lisfranc韧带的解剖学与MRI研究　出处：《中国临床医学影像杂志》2017年04期 　论文类型：期刊论文

【摘要】：目的:对正常成人Lisfranc韧带的解剖学和影像学表现进行描述,为临床提供依据。方法:对18侧成人尸体标本进行解剖,测量分离出的Lisfranc韧带,得到Lisfranc韧带的详细形态参数,确定Lisfranc韧带的走行;同时采用飞利浦Achieva1.5T双梯度超导型磁共振成像仪对25名足部没有畸形、创伤等病变的成人志愿者的50只足进行扫描,获得Lisfranc韧带的影像学资料,利用系统自带测量软件测量Lisfranc韧带在影像学表现上的详细参数;使用SPSS 17.0将得到的两组数据进行统计学分析。结果:在解剖学与影像学表现上,Lisfranc韧带的长、宽、厚及韧带起点到内侧楔骨近端关节面的距离比较均有显著性差异(P0.05);而Lisfranc韧带与内侧楔骨近端成角度数的解剖学和影像学比较无显著性差异(P0.05)。结论:正常成人Lisfranc韧带在解剖学及MRI表现上并不完全一致,影像学检查为辅助检查,而解剖学测量是确定正常成人Lisfranc韧带走形及形态的金标准。
[Abstract]:Objective: the Lisfranc of normal adult ligament anatomy and imaging findings were described, provide the basis for clinical treatment. Methods: the anatomy of 18 adult cadaver specimens, measuring isolated ligament of Lisfranc, get the detailed morphological parameters of the ligament of Lisfranc, determine the ligament of Lisfranc walking; at the same time using PHILPS Achieva1.5T dual gradient superconducting magnetic resonance imager on 25 foot without deformity, 50 foot trauma lesions in adult volunteers were scanned data of the ligament of Lisfranc imaging, the use of the system comes with software measurement measurement of Lisfranc ligament in imaging detail parameters on the performance of the SPSS 17; use the data of the two groups were analyzed statistically. Results: in anatomy and the imaging findings, Lisfranc ligament length, width, thickness and the starting point to the medial cuneiform bone ligament proximal articular surface distance had significant difference (P0.05); While the Lisfranc ligament and medial cuneiform angle into proximal anatomy and imageology showed no significant difference (P0.05). Conclusion: Lisfranc ligament in normal adult anatomy and the MRI performance is not entirely consistent, imaging examination for auxiliary examination, and anatomical measurement is the gold standard for determining the normal adult Lisfranc ligament shape and form.

【作者单位】：新疆医科大学第二附属医院;阜新市中心医院;
【基金】：新疆维吾尔自治区科技支疆项目计划(指令性)项目(2013911112)
【分类号】：R322.7;R445.2
【正文快照】： Lisfranc关节又称跖跗关节,位于跖骨和跗骨之间,由跖跗关节复合体构成,包括内楔骨、中楔骨、外楔骨、骰骨及与5块跖骨形成的关节面,它构成了足纵弓和足横弓的基础。法国人Jaqcues Lisfranc在一名骑马时受伤的士兵前足发生坏疽后发现通过这个关节可以在不截断骨骼的前提下实施

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