超声多模态技术监测外固定牵拉成骨过程的研究进展
摘要
目前牵拉成骨技术是骨骼延长和骨骼重建手术的核心技术之一,被广泛应用于临床,骨延长治疗使用外固定架固定,需要多个环节且治疗周期相对较长,传统的影像学评估方法是X射线片,但其无法对牵拉早期的新生组织显像,超声多模态技术可以更早期、更精准的观测截骨端骨痂形成的各个阶段,监测截骨端的血运状况,观测截骨区域及附近软组织生长情况,指导牵拉过程的速度,调节牵拉成骨的张力,发现牵拉过程中的并发症。本文将对近年来超声监测骨延长过程中的研究热点进行综述,为今后的临床治疗提供借鉴。
引文
[1] 秦泗河,葛建忠,郭保逢.“牵拉成骨”与“牵拉组织再生”技术的来源与汉语表述[J].中华外科杂志, 2012, 50(5):461.
[2] 张姚,王斌.牵拉成骨术在骨科的研究进展[J].实用骨科杂志,2013,19(4):335-338.
[3] Mukai-Higashihori K,Baba Y,Tetsumura A,et al.Ultrasonographic Assessment of New Bone Formation in Maxillary Distraction Osteogenesis[J].Journal of Oral & Maxillofacial Surgery Official Journal of the American Association of Oral & Maxillofacial Surgeons,2008,66(8):1 750-1 753.
[4] Aronson J,Shin HD.Imaging techniques for bone regenerate analysis during distraction osteogenesis[J].J Pediatr Orthop, 2003, 23(4):550.
[5] Poposka A, Atanasov N, Dzoleva-Tolevska R. Use of ultrasonography in evaluation of new bone formation in patients treated by the method, of Ilizarov[J]. Prilozi/Makedonska akademija na naukite i umetnostite, Oddelenie za biolo?ki i medicinski nauki = Contributions / Macedonian Academy of Sciences and Arts, Section of Biological and Medical Sciences,2012,33(1):199.
[6] Issar Y, Sahoo NK, Sinha R, et al. Comparative evaluation of the mandibular distraction zone using ultrasonography and conventional radiography[J]. International Journal of Oral & Maxillofacial Surgery, 2014, 43(5):587-594.
[7] Weinberg ER, Tunik MG, Tsung JW. Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults[J]. Injury-international Journal of the Care of the Injured,2010,41(8):862-868.
[8] 刘帮燕,金琳,夏晴,等.超声造影评估早期骨再生血管化的实验研究[J].声学技术,2018,(2).
[9] 凌茵. 超声造影评估兔人工骨微血管生长的实验研究[D].南方医科大学,2017.
[10] Augat P, Morgan EF,Lujan TJ, et al. Imaging techniques for the assessment of fracture repair[J].Injury-international Journal of the Care of the Injured, 2014, 45(74):16-22.
[11] 刘琦, 吴长君. 超声在肌肉骨骼系统中应用的研究进展[J]. 医学综述, 2017, 23(12):2 433-2 437.
[12] Liantis P, Mavrogenis AF, Stavropoulos NA, et al. Risk factors for and complications of distraction osteogenesis[J].Eur J Orthop Surg Traumatol,2014,24(5):693-698.
[13] 师红立.X线和彩色多普勒超声检查在肢体延长中的应用价值[D].天津医科大学, 2009.
[14] 梁强,张锴. 牵拉成骨过程中并发症及截骨端骨痂血运情况:多普勒超声监测可行[J].中国组织工程研究, 2015, 19(20):3 226-3 230.
[15] Nocini PF,Albanese M, Wangerin K,et al. Distraction osteogenesis of the mandible: evaluation of callus distraction by B-scan ultrasonography[J].J Craniomaxillofac Surg,2002,30(5):286-291.
[2] 张姚,王斌.牵拉成骨术在骨科的研究进展[J].实用骨科杂志,2013,19(4):335-338.
[3] Mukai-Higashihori K,Baba Y,Tetsumura A,et al.Ultrasonographic Assessment of New Bone Formation in Maxillary Distraction Osteogenesis[J].Journal of Oral & Maxillofacial Surgery Official Journal of the American Association of Oral & Maxillofacial Surgeons,2008,66(8):1 750-1 753.
[4] Aronson J,Shin HD.Imaging techniques for bone regenerate analysis during distraction osteogenesis[J].J Pediatr Orthop, 2003, 23(4):550.
[5] Poposka A, Atanasov N, Dzoleva-Tolevska R. Use of ultrasonography in evaluation of new bone formation in patients treated by the method, of Ilizarov[J]. Prilozi/Makedonska akademija na naukite i umetnostite, Oddelenie za biolo?ki i medicinski nauki = Contributions / Macedonian Academy of Sciences and Arts, Section of Biological and Medical Sciences,2012,33(1):199.
[6] Issar Y, Sahoo NK, Sinha R, et al. Comparative evaluation of the mandibular distraction zone using ultrasonography and conventional radiography[J]. International Journal of Oral & Maxillofacial Surgery, 2014, 43(5):587-594.
[7] Weinberg ER, Tunik MG, Tsung JW. Accuracy of clinician-performed point-of-care ultrasound for the diagnosis of fractures in children and young adults[J]. Injury-international Journal of the Care of the Injured,2010,41(8):862-868.
[8] 刘帮燕,金琳,夏晴,等.超声造影评估早期骨再生血管化的实验研究[J].声学技术,2018,(2).
[9] 凌茵. 超声造影评估兔人工骨微血管生长的实验研究[D].南方医科大学,2017.
[10] Augat P, Morgan EF,Lujan TJ, et al. Imaging techniques for the assessment of fracture repair[J].Injury-international Journal of the Care of the Injured, 2014, 45(74):16-22.
[11] 刘琦, 吴长君. 超声在肌肉骨骼系统中应用的研究进展[J]. 医学综述, 2017, 23(12):2 433-2 437.
[12] Liantis P, Mavrogenis AF, Stavropoulos NA, et al. Risk factors for and complications of distraction osteogenesis[J].Eur J Orthop Surg Traumatol,2014,24(5):693-698.
[13] 师红立.X线和彩色多普勒超声检查在肢体延长中的应用价值[D].天津医科大学, 2009.
[14] 梁强,张锴. 牵拉成骨过程中并发症及截骨端骨痂血运情况:多普勒超声监测可行[J].中国组织工程研究, 2015, 19(20):3 226-3 230.
[15] Nocini PF,Albanese M, Wangerin K,et al. Distraction osteogenesis of the mandible: evaluation of callus distraction by B-scan ultrasonography[J].J Craniomaxillofac Surg,2002,30(5):286-291.