数字化X线影像在踝关节损伤诊断中意义研究.docVIP

数字化X线影像在踝关节损伤诊断中意义研究 　　[摘要] 目的 探讨数字化X线影像在踝关节损伤诊断中的意义研究。 方法 选择我院2016年2月～2017年4月本院收治的成人受检者600例，经体检均无踝关节外伤、疾病和手术史。在踝关节辅助拍摄支架的帮助下拍摄负重非负重位下踝关节标准正位、侧位、踝穴位、应力位直接数字化X线影像；将数据传入影像工作站，在PACS系统中利用自带软件对踝关节系统测量各种评估指标；记录研究对象的年龄、身高、体重值，统计学分析踝关节各指标与性别、年龄、身高、体重及侧别之间的相关性。 结果 年龄18～60岁、男性、体质量指数超过24kg/m2是踝关节损伤的发生率的影响因素，差异有统计学意义（P0.05）；负重者踝关节正位片的内踝尖水平腓骨宽度、内踝尖水平内踝尖端至腓骨外侧皮质距离、内外踝尖端的垂直距离显著低于非负重者，差异有统计学意义（P0.05）。 结论 充分考虑性别、年龄、身高、体重、侧别及负重情况等是否是踝关节损伤的影响因素，指导临床急性踝关节损伤的诊断和治疗，可以提高临床对于踝关节韧带损伤的诊断准确率。 　　[关键词] 影响因素；踝关节损伤；数字化X线影像 　　[中图分类号] R683；R816.8 [文献标识码] A [文章编号] 2095-0616（2017）13-160-04 　　[Abstract] Objective To explore the significance of digital X-ray image in diagnosis of ankle joint injuries. Methods 600 examined adults in our hospital from Feb 2016 to April 2017 were selected.There were no ankle injuries，diseases and surgical history.The direct digital radiography of the ankle joint，standard position，lateral position，ankle point and stress position were carried out with the help of the ankle joint shooting support.The data were sent to the image workstation，and the software was used to measure various evaluation indexes of ankle joint system in PACS system.The age，height and weight of the subjects were recorded，and the correlation between the indexes of ankle joint and gender，age，height，weight and lateral deviation was analyzed statistically. Results Age 18-60 years，male，body mass index more than 24kg/m2 were the influence factors of ankle joint injury rate，the differences were statistically significant （P0.05）.The vertical distance of the medial malleolus level of ankle fibula radiograph，the width of the medial malleolus medial malleolus tip to the fibular lateral cortex of horizontal distance，waihuai tip were significantly lower than those of non weight bearing，the differences were statistically significant （P0.05）. Conclusion It is considered that gender，age，height，weight，lateral weight and weight-bearing condition are the influencing factors of ankle joint injuries or not.It can guid