MRI在运动致踝骨骨折术前检查及术后管理中的应用

doi:10.7517/issn.1674-0475.211219

摘要/Abstract

摘要： 本文探讨MRI在运动致踝骨骨折术前检查及术后管理中的应用。选取运动致踝骨骨折患者98例作为研究对象,通过MRI在不同体位上对患者踝关节进行扫描;以AOFAS评分系统为根据对踝关节功能进行评分。结果发现,MRI多平面、多序列扫描能够清晰地显示踝骨韧带周围解剖结构,显著提高临床诊断准确率;与踝关节骨折有关单因素包括:糖尿病、吸烟、创伤暴力、术中是否固定下胫腓联合、骨折复位情况、骨折分型;多因素分析踝骨骨折功能恢复与骨折复位情况、骨折分型有关。总之,MRI可以显著提高运动致踝骨骨折术前检查准确率;术后管理中,需对踝关节骨折分型与骨折复位情况进行充分评估。

关键词: 磁共振成像, 踝骨骨折, 术前检查, 术后管理

Abstract: This article explored the application of MRI in the preoperative examination and postoperative management of sports-induced ankle fractures. 98 patients with ankle fractures caused by sports were selected as research objects, and used MRI to scan the ankle joints in different body positions, and then scored the ankle function according to the AOFAS scoring system. The results showed that MRI multi-planar, multi-sequence scan can clearly show the anatomical structure around the ankle ligament, significantly improve the accuracy of clinical diagnosis. The single factors related to ankle fractures include: diabetes, smoking, trauma, violence, whether the syndesmosis of the tibia and fibula was fixed during the operation, fracture reduction, fracture classification. Multi-factor analysis of ankle fracture functional recovery was related to fracture reduction and fracture classification. In short, MRI could significantly improve the accuracy of preoperative examination of sports-induced ankle fractures, and in postoperative management, the classification of ankle fractures and the reduction of fractures need to be fully evaluated.

Key words: magnetic resonance imaging(MRI), ankle fracture, preoperative examination, postoperative management

朱超, 马一鸣. MRI在运动致踝骨骨折术前检查及术后管理中的应用[J]. 影像科学与光化学, 2022, 40(3): 690-695.

ZHU Chao, MA Yiming. Application of MRI in Preoperative Examination and Postoperative Management of Sports-induced Ankle Fractures[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2022, 40(3): 690-695.

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