青少年骺板及骨骺损伤的多排螺旋CT影像学表现
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摘要
目的探讨青少年骺板及骨骺损伤的多排螺旋CT影像学的临床诊断价值。方法 60例青少年骺板及骨骺损伤患者均进行多排螺旋CT检查与X线平片检查,分析其多排螺旋CT的影像学表现。结果多排螺旋CT检查与X线平片检查在不同的骨折部位,诊断具有不一致性,按照Salter-harris骨折分型,Ⅰ型4例(6.67%),Ⅱ型39例(65.00%),Ⅲ型8例(13.33%),Ⅳ型9例(15.00%),Ⅴ型患者0例(0),Ⅱ型骨折患者占比最大,与其余各型患者占比率相比,差异具有统计学意义(P<0.05)。结论对青少年骺板及骨骺损伤患者,采用多排螺旋CT检查,能够有效观察骨骺损伤与移位情况,为临床的进一步处理治疗提供参考依据,产生的诊断效果较显著,值得临床上进一步推广与研究。
Objective To investigate the clinical diagnostic value of multi-slice spiral CT imaging of epiphyseal plate and epiphysis injury teenagers. Methods Sixty patients with epiphyseal plate and epiphysis adolescent injury were given multi-slice spiral CT examination and X-ray examination, and the results of image manifestations of multi-slice spiral CT were analyzed. Results Multi-slice spiral CT examination and X-ray examination in different parts of the fracture, diagnosis was not consistent, and the fractures were classified as Salter-harris type, with 4cases of type I(6.67%), 39 cases of type Ⅱ(65.00%), 8 cases of type Ⅲ(13.33%), 9 cases of type Ⅳ(15.00%), 0 cases of type Ⅴpatients(0%). Compared with the rest types, type Ⅱfractures accounted for the largest proportion, with the significant difference(P<0.05). Conclusion Multi-slice spiral CT examination can effective observe the displacement damage and epiphysis ror patients with juvenile epiphyseal plate and epiphysis injury, with the remarkable diagnosis results, providing reference for further processing in clinical treatment, and worthy of further clinical promotion and research.
Objective To investigate the clinical diagnostic value of multi-slice spiral CT imaging of epiphyseal plate and epiphysis injury teenagers. Methods Sixty patients with epiphyseal plate and epiphysis adolescent injury were given multi-slice spiral CT examination and X-ray examination, and the results of image manifestations of multi-slice spiral CT were analyzed. Results Multi-slice spiral CT examination and X-ray examination in different parts of the fracture, diagnosis was not consistent, and the fractures were classified as Salter-harris type, with 4cases of type I(6.67%), 39 cases of type Ⅱ(65.00%), 8 cases of type Ⅲ(13.33%), 9 cases of type Ⅳ(15.00%), 0 cases of type Ⅴpatients(0%). Compared with the rest types, type Ⅱfractures accounted for the largest proportion, with the significant difference(P<0.05). Conclusion Multi-slice spiral CT examination can effective observe the displacement damage and epiphysis ror patients with juvenile epiphyseal plate and epiphysis injury, with the remarkable diagnosis results, providing reference for further processing in clinical treatment, and worthy of further clinical promotion and research.
引文
[1]吕学敏,胡浩,鲁明,等.骨骺损伤修复过程中骺板形态及VEGF表达的变化[J].中华骨科杂志,2012,32(6):570-575.
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[10]吴大鹏,路坦,梁秋冬,等.微创切口复位改良外固定架治疗儿童肱骨外科颈骨折[J].实用儿科临床杂志,2011,26(20):1609-1610.
[11]沈雷,陆骅,蒋雷生,等.青少年胫骨远端三平面骨折的诊治[J].中华创伤骨科杂志,2009,11(11):1035-1038.
[12]吴欣乐,易申德,任德胜,等.年龄小于5岁的小儿肱骨远端全骨骺分离骨折的诊断和治疗[J].中华小儿外科杂志,2007,28(1):52-54.
[13]Lawrence JT,Bowers AL,Belding J,et al.All-epiphyseal anterior cruciate ligament reconstruction in skeletally immature patients[J].Clinical Orthopaedics and Related Research,2010,468(7):1971-1977.
[14]万荣超,邓德茂.腕三角骨背侧骨折X线及多排螺旋CT表现[J].实用放射学杂志,2012,28(4):585-586,595.
[15]肖树恺,吴春慧,朱宇辉,等.多排螺旋CT多平面重建在足踝隐匿性骨折诊断中的应用[J].实用放射学杂志,2011,27(8):1236-1238.
[2]张宜远,郭源,吕学敏,等.MRI在儿童骨骺损伤中的应用研究与进展[J].中华放射学杂志,2009,43(4):446-448.
[3]周进.儿童踝关节骨折的治疗进展[J].重庆医学,2012,41(28):2994-2996.
[4]于秀淳,刘晓平,周银,等.保留骨骺灭活再植术治疗儿童股骨远端骨肉瘤及术后肢体功能恢复特征[J].中国组织工程研究与临床康复,2007,11(4):758-762.
[5]韦仕战,彭维波,班华登,等.避开骨骺克氏针内固定法治疗尺桡骨远端骨折[J].实用儿科临床杂志,2007,22(11):833-834.
[6]颉强,胡蕴玉,杨柳,等.纤维蛋白胶对骨骺损伤后骨桥形成的预防作用[J].中华小儿外科杂志,2009,30(1):39-43.
[7]林飞飞,韩镜明,向葵,等.MRI在儿童肘关节不典型损伤中的诊断价值[J].中国临床医学影像杂志,2010,21(1):28-30.
[8]周剑,赵强,衡孝来,等.撬拨复位弹性髓内针治疗儿童前臂不稳定性骨折42例[J].海南医学,2011,22(11):22-24.
[9]朱绍成,史大鹏,郑稼,等.小儿慢性骨骺损伤MRI诊断价值探讨[J].中华实用诊断与治疗杂志,2010,24(1):11-12.
[10]吴大鹏,路坦,梁秋冬,等.微创切口复位改良外固定架治疗儿童肱骨外科颈骨折[J].实用儿科临床杂志,2011,26(20):1609-1610.
[11]沈雷,陆骅,蒋雷生,等.青少年胫骨远端三平面骨折的诊治[J].中华创伤骨科杂志,2009,11(11):1035-1038.
[12]吴欣乐,易申德,任德胜,等.年龄小于5岁的小儿肱骨远端全骨骺分离骨折的诊断和治疗[J].中华小儿外科杂志,2007,28(1):52-54.
[13]Lawrence JT,Bowers AL,Belding J,et al.All-epiphyseal anterior cruciate ligament reconstruction in skeletally immature patients[J].Clinical Orthopaedics and Related Research,2010,468(7):1971-1977.
[14]万荣超,邓德茂.腕三角骨背侧骨折X线及多排螺旋CT表现[J].实用放射学杂志,2012,28(4):585-586,595.
[15]肖树恺,吴春慧,朱宇辉,等.多排螺旋CT多平面重建在足踝隐匿性骨折诊断中的应用[J].实用放射学杂志,2011,27(8):1236-1238.