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新生血管体积及其在跟腱病中的临床意义。

The volume of the neovascularity and its clinical implications in achilles tendinopathy.

机构信息

Institute of Medical Engineering and Medical Physics, School of Engineering, Cardiff University, Cardiff, United Kingdom.

出版信息

Ultrasound Med Biol. 2012 Nov;38(11):1887-95. doi: 10.1016/j.ultrasmedbio.2012.07.002. Epub 2012 Sep 10.

Abstract

Thirty-seven pathologic Achilles tendons from 27 patients were investigated by a three-dimensional (3-D) power Doppler ultrasound system. Both the volume of the neovascularity (VON) and the volume of Achilles tendon (VOAT) were investigated. VON-VOAT index (VVI), as the normalization of the neovascularization, was accordingly calculated. Patient's clinical indications were assessed using the visual analog scale for pain (VAS) and Victorian Institute of Sport Assessment Achilles (VISA-A). Relationships between VAS and VON, VISA-A and VON, VAS and VOAT, VISA-A and VOAT, VAS and VVI, and VISA-A and VVI, were statistically analyzed. The vascular mapping within and surrounding the symptomatic Achilles tendons was investigated. 97.3% of the Achilles tendons were found to have neovascularization. In 55.6% of these Achilles, the neovascularity was associated with the location of thickening. The VAS was found to be positively correlated with the VON and the VVI, the VON was found to be independent from the VOAT.

摘要

对 27 名患者的 37 个病理跟腱进行了三维(3-D)能量多普勒超声系统检查。研究了新生血管体积(VON)和跟腱体积(VOAT)。因此,计算了新生血管的归一化 VON-VOAT 指数(VVI)。使用疼痛视觉模拟量表(VAS)和维多利亚运动评估跟腱(VISA-A)评估患者的临床指征。统计分析了 VAS 与 VON、VISA-A 与 VON、VAS 与 VOAT、VISA-A 与 VOAT、VAS 与 VVI 和 VISA-A 与 VVI 之间的关系。研究了症状性跟腱内及其周围的血管映射。97.3%的跟腱发现有新生血管形成。在这些跟腱中,55.6%的新生血管与增厚的位置有关。VAS 与 VON 和 VVI 呈正相关,VON 与 VOAT 无关。

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