本文選題：距骨骨軟骨損傷　切入點(diǎn)：核磁共振　出處：《新疆醫(yī)科大學(xué)》2015年碩士論文

【摘要】：目的：探討MRI與關(guān)節(jié)鏡在距骨骨軟骨損傷診斷方面的相關(guān)性及兩者輔助下選擇的手術(shù)方式的療效。方法：選取2010年8月至2013年7月在我院收治的22例距骨骨軟骨損傷患者,男性14例,女性8例,平均年齡37.6歲(26-52歲)。22例患者均為單發(fā)病灶,其中左足損傷7例,右足損傷15例,內(nèi)側(cè)病變17例,外側(cè)病變5例。22例患者中18例有明確的外傷史,4例無(wú)明確外傷史�；颊呔Ｒ�(guī)行MRI和關(guān)節(jié)鏡檢查,分別根據(jù)Hepple法和Bohndorf法進(jìn)行分級(jí),并分析二者的相關(guān)性；術(shù)后隨訪并評(píng)估,判斷療效。結(jié)果：損傷根據(jù)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；根據(jù)Bohndorf的關(guān)節(jié)鏡分級(jí)：A級(jí)1例,B級(jí)1例,C級(jí)2例,D級(jí)14例,E級(jí)2例,F級(jí)2例。距骨骨軟骨損傷的MRI分期與關(guān)節(jié)鏡下分級(jí)兩者之間無(wú)顯著相關(guān)(r=0.26,P=0.24)；19例手術(shù)患者術(shù)后獲1-35月(平均15.7月)隨訪,隨訪率為86.4%。美國(guó)足踝外科協(xié)會(huì)(American Orthopaedic Foot and Ankle Society, AOFAS)躁與后足功能評(píng)分術(shù)前(42.16±10.23)分,術(shù)后(82.84±13.03)分,二者差異具有統(tǒng)計(jì)學(xué)意義(P0.01)；優(yōu)良率84.2%,且未發(fā)生明顯并發(fā)癥。結(jié)論：MRI和關(guān)節(jié)鏡的聯(lián)合應(yīng)用是準(zhǔn)確評(píng)價(jià)距骨骨軟骨損傷的必需檢查手段,且在對(duì)手術(shù)方式的選擇方面具有指導(dǎo)意義。
[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，

本文編號(hào)：1680158