超声筛查检查在检测脊髓损伤后异位骨化中的敏感性。
The sensitivity of ultrasound screening examination in detecting heterotopic ossification following spinal cord injury.
作者信息
Rosteius T, Suero E M, Grasmücke D, Aach M, Gisevius A, Ohlmeier M, Meindl R, Schildhauer T A, Citak M
机构信息
Department of General and Trauma Surgery, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany.
Institute for Epidemiology, Social Medicine and Health Systems Research, Hannover Medical School, Hannover, Germany.
出版信息
Spinal Cord. 2017 Jan;55(1):71-73. doi: 10.1038/sc.2016.93. Epub 2016 Jun 28.
STUDY DESIGN
Retrospective chart review.
OBJECTIVE
To analyze the role of sonography in detecting heterotopic ossification (HO) following spinal cord injury (SCI).
SETTING
Department of Spinal Cord Injury and Department of General and Trauma Surgery, BG University Hospital Bergmannsheil Bochum, Ruhr University Bochum, Germany.
METHODS
Between January 2003 and December 2013, 217 patients with HO of the hips met the inclusion criteria and were included in the final analyses. The diagnosis of HO was carried out in all cases using our hospital protocol. Primary outcome measure was to calculate the sensitivity of ultrasound screening examination in detecting HO following SCI.
RESULTS
The diagnosis of HO was confirmed in 217 patients after a mean interval of 64.8 days (range from 8 to 295; s.d.=40.4) via computerized tomography or magnetic resonance imaging scan. In 193 out of 217 patients, suspicious HO signs were noted in the ultrasound screening examination (sensitivity=88.9%).
CONCLUSIONS
The use of ultrasound for screening for HO in SCI patients is reliable and has a high sensitivity.
研究设计
回顾性病历审查。
目的
分析超声检查在脊髓损伤（SCI）后检测异位骨化（HO）中的作用。
地点
德国波鸿鲁尔大学波鸿贝格曼希尔医院脊髓损伤科、普通外科和创伤外科。
方法
2003年1月至2013年12月期间，217例髋部发生HO的患者符合纳入标准并纳入最终分析。所有病例均按照我院方案进行HO的诊断。主要结局指标是计算超声筛查检查在检测SCI后HO中的敏感性。
结果
平均间隔64.8天（范围8至295天；标准差=40.4）后，通过计算机断层扫描或磁共振成像扫描确诊217例患者患有HO。在217例患者中的193例中，超声筛查检查发现可疑HO迹象（敏感性=88.9%）。
结论
超声用于筛查SCI患者的HO可靠且敏感性高。
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