中国现代医学杂志2017，Vol.27Issue(25)：74-78,5.DOI:10.3969/j.issn.1005-8982.2017.25.015
儿童长骨骨折治疗后骨痂形成评估新方法的临床应用研究
Clinical application of new evaluation method to callus formation after treatment of long bone fractures in children
马张稳 1田红英 1白立榜 1刘荣1
作者信息
- 1. 延安大学附属医院创伤修复外科,陕西延安716000
- 折叠
摘要
Abstract
Objective To analyze the correlation of ultrasound and radiographs with imaging of callus formation after fractures of long bones in children and to analyze the correlation of vascular resistance index (RI) and the degree of callus vascularization with a subjective radiological assessment of the bone union quality.Methods The prospective study was planned to qualify 50 children treated for long bones fractures of the arms,forearms,thighs or lower legs.The participants included 31 boys and 19 girls,whose average age at injury was 11 and 9 years respectively.Totally 56 fractured bones and 56 corresponding contralateral healthy bones were examined.Ultrasound diagnosis was carried out using a Philips iU22 camera equipped with a linear probe with 17-5-MHz resolution and MSK Superficial program.During ultrasound examination the callus was measured.Using the Power Doppler callus vascularity was visualized and RI was measured.The same measurements were made within the corresponding area of the healthy limb.The results obtained by ultrasound were compared with radiograph measurements and with the subjective assessment of the callus quality.Results Preliminary results were developed on a group of 50 patients.In both groups the fractures without displacement were the most frequent fractures.A similar frequency was observed in the fractures requiring reduction and subperiosteal fractures.In contrast,the fractures with a slight displacement of the fragments occurred 3 times more often in girls.Statistical analysis showed there was no statistical difference in the length or width of the callus measured by ultrasound and by X-rays.Moreover,preliminary results showed the degree of vascularization of the callus was significantly higher than that of the healthy periosteum.Conclusions Preliminary results indicate the high efficacy of ultrasonography in the evaluation of callus formation after fractures of long bones in children and the possibility of its alternative to X-ray examination.关键词
儿童护理/骨折/X射线/超声检查Key words
child care/fracture/radiography/ultrasonography分类
医药卫生引用本文复制引用
马张稳,田红英,白立榜,刘荣..儿童长骨骨折治疗后骨痂形成评估新方法的临床应用研究[J].中国现代医学杂志,2017,27(25):74-78,5.
