X线平片与MRI在跗三角骨综合征诊断中的价值比较-影像医学与核医学专业论文.docxVIP

万方数据 万方数据 目 录 中文摘要 ·············································································1 英文摘要 ·············································································4 英文缩写 ·············································································8 研究论文 X 线平片与 MRI 在跗三角骨综合征诊断中的价值比较 前言 ·············································································9 材料与方法 ····································································10 结果 ·············································································12 附图 ·············································································14 附表 ·············································································21 讨论 ·············································································24 结论 ·············································································29 参考文献 ·······································································30 综述 后踝撞击综合征的的临床与影像学评价 ·······························33 致谢 ···················································································41 个人简历 ·············································································42 中 中 文 摘 要 PAGE 10万方数据 PAGE 10 万方数据 X线平片与MRI在跗三角骨综合征诊断中的价值比较 摘 要 目的：分析总结跗三角骨综合征(os trigonum syndrome，OTS)的临床 表现及影像学特点，尤其是磁共振成像(magnetic resonance imaging，MRI) 表现，提高对跗三角骨综合征的影像学征象的认识,寻求跗三角骨综合征 诊断的客观依据，为临床诊断提供影像学证据。 方法： 1 一般资料：回顾性总结分析河北省沧州中西医结合医院 2012 年 1 月至 2014 年 1 月 72 例后踝疼痛患者的临床、X 线及 MRI 资料。其中男 45 例， 女 27 例，年龄 17～67 岁，平均 44.5 岁；累及右踝 49 例，左踝 23 例； 病史 1 个月～3 年。所有研究对象均行踝关节常规正、侧位 X 线片及 MRI 检查。 2 检查方法： 2.1 踝关节常规 X 线检查：使用美国 GE DR8000 X 光机，踝关节常规正、 侧位 X 线片，采取毫安秒自动调节模式。 2.2 踝关节 MRI 检查：应用德国西门子 3.0T Verio 超导 MRI 扫描仪，采 用 8 通道头颅线圈，患者体位为仰卧位足先进。扫描序列包括：轴位质子 密度加权成像脂肪抑制序列（PD-FS），矢状位自旋回波 T1 加权成像 （SE-T1WI）及质子密度加权成像脂肪抑制序列（PD-FS），冠状位快速 自旋回波 T2 加权成像（TSE-T2WI）及质子密度加权成像脂肪抑制序列 （PD-FS）。 3 观察、分析内容： 3.1 临床表现：记录有无后踝外伤史，急性或反复跖屈史，临床症状与体 征主要记录有无后踝压痛，踝关节活动受限，跖屈力下降等。 3.2 影像学表现：X 线平片观察记录距骨后外侧突或跗三角骨的形态，有 无跗三角骨骨质硬化、囊变，后踝软组织肿胀；MRI 观