足底筋膜损伤MRI诊断.docVIP

足底筋膜损伤MRI诊断 　　【摘要】 目的 评价足底筋膜损伤的MRI诊断价值。方法 回顾性分析11例经手术病理和临床随访证实足底筋膜损伤患者的MRI与临床资料，总结MRI表现特征。结果 足底筋膜损伤的MRI表现有4种类型，（1）急性筋膜炎：T?2WI、Stir足底筋膜内斑片状高信号，筋膜周围软性组织呈高信号改变。（2）慢性筋膜炎：T?1WI足底筋膜呈纺锤形增厚，信号增高，筋膜附着部跟骨见骨性突起或局灶性皮质缺损。（3）筋膜完全断裂：T?1WI、T?2WI、Stir筋膜连续性中断，断裂部位呈高信号改变。（4）筋膜部份断裂：T?1WI、T?2WI 、Stir筋膜连续性部份中断，断裂部分增厚，呈高信号改变。结?论 ?MR是诊断足底筋膜损伤的最好检查方法。? 　　【关键词】 足底筋膜损伤； MR?? 　　MR diagnosis of the plantar fascia injury ?ZHU Ting-min, WANG Song, LI Zhi-qi, FENG Rui. The 208 hospital of PLA in Ji Lin province, Changchun 130062, China?? 　　【Abstract】 Objective To investigate the value of MRI in the diagnosis of plantar fascia injury.Methods MRI and medical records were retrospectively analyzed in eleven cases with histologically and clinical fowllow-up proved plantar fascia injury. MRI morphology and signal characteristics were summarized.Results MRI features of the plantar fascia injury were divided four types. (1)Acute plantar fasciitis: the plantar fascia showed the spotted high signal intensity and the surrounding soft tissue in the region of the plantar fascia was the high signal intensity on T?2WI and stir. (2)Chromic plantar fasciitis: the plantar fascia showed shuttle thick and increasing signal intensity on T?1WI, T?2WI, Stir. The calcaneas showed the spur and focal cortical defect at the plantar fascia insertion. (3)The complete tear of the plantar fascia: the continuity of the plantar fascia was rupture, the region in the rupture was high signal intensity on T?1WI, T?2WI, Stir. (4)The partial tear of the plantar fascia: the continuity of the plantar fascia was partial rupture, the region in the rapture showed thick and high signal intensity on T?1WI, T?2WI, Stir.Conclusion MR is the best way in the diagnosis of the plantar fascia injury.? 　　【Key words】 Plantar fascia Injury; MR 　　?? 　　 　　足底筋膜损伤是造成足跟痛的常见原因，早期诊断及时处理有利于损伤的快速恢复，X线平片、CT的软组织伤分辨率低，很难发现足底筋膜病变。MRI软组织分辨率高，能及时发现足底筋膜损伤。目前，足底筋膜损伤的MRI表现国内尚未见报导。2009年5月～2010年10月，MR机共检查足底筋膜损伤11例，现分析报告如下，以明确MRI的诊断价值。? 　　1 资料与方法? 　　1.1 一般资料 11例