关节镜与MRI对距骨骨软骨损伤手术方式选择的相关性分析

发布时间：2018-03-29 07:39

  本文选题：距骨骨软骨损伤　切入点：核磁共振　出处：《新疆医科大学》2015年硕士论文

【摘要】：目的：探讨MRI与关节镜在距骨骨软骨损伤诊断方面的相关性及两者辅助下选择的手术方式的疗效。方法：选取2010年8月至2013年7月在我院收治的22例距骨骨软骨损伤患者,男性14例,女性8例,平均年龄37.6岁(26-52岁)。22例患者均为单发病灶,其中左足损伤7例,右足损伤15例,内侧病变17例,外侧病变5例。22例患者中18例有明确的外伤史,4例无明确外伤史。患者均常规行MRI和关节镜检查,分别根据Hepple法和Bohndorf法进行分级,并分析二者的相关性；术后随访并评估,判断疗效。结果：损伤根据Hepple的MRI分期：Ⅰ期1例,Ⅱ期9例,Ⅲ期4例,Ⅳ期2例,Ⅴ期6例；根据Bohndorf的关节镜分级：A级1例,B级1例,C级2例,D级14例,E级2例,F级2例。距骨骨软骨损伤的MRI分期与关节镜下分级两者之间无显著相关(r=0.26,P=0.24)；19例手术患者术后获1-35月(平均15.7月)随访,随访率为86.4%。美国足踝外科协会(American Orthopaedic Foot and Ankle Society, AOFAS)躁与后足功能评分术前(42.16±10.23)分,术后(82.84±13.03)分,二者差异具有统计学意义(P0.01)；优良率84.2%,且未发生明显并发症。结论：MRI和关节镜的联合应用是准确评价距骨骨软骨损伤的必需检查手段,且在对手术方式的选择方面具有指导意义。
[Abstract]:Objective: to investigate the correlation between MRI and arthroscopy in the diagnosis of talus cartilage injury and the curative effect of the two assisted surgical methods. Methods: from August 2010 to July 2013, 22 patients with talus cartilage injury were treated in our hospital. There were 14 males and 8 females, with an average age of 37.6 years, 26 to 52 years old, all of whom were single lesions, including 7 cases of left foot injury, 15 cases of right foot injury and 17 cases of medial lesion. 18 out of 5 patients with lateral lesions had a clear history of trauma and 4 had no clear history of trauma. All patients were routinely examined with MRI and arthroscopy. The patients were graded according to Hepple and Bohndorf, and the correlation between them was analyzed, followed up and evaluated after operation. Results: according to the MRI staging of Hepple, there were 1 case in stage 鈪，

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