Zinman C, Wolfson N, Reis N D
Department of Orthopaedics and Traumatology B, Medical Center, Faculty of Medicine, Haifa, Israel.
J Bone Joint Surg Am. 1988 Aug;70(7):1017-9.
From 1977 through 1985, thirty-two patients were treated for osteochondritis dissecans of the dome of the talus. The diagnosis was established in two-thirds of the patients using ordinary roentgenograms, but it was established in all of them using computed tomography scans. After a mean length of follow-up of about five years, the results of surgical treatment were significantly better than those of conservative treatment. For twenty patients, computed tomography scans were superior to roentgenograms in showing healing of the lesion. We concluded that computed tomography is useful not only for diagnosis--that is, in determining the extent and precise location of the lesion--but also for follow-up.
从1977年到1985年，32例距骨穹窿剥脱性骨软骨炎患者接受了治疗。三分之二的患者通过普通X线片确诊，但所有患者均通过计算机断层扫描确诊。经过平均约五年的随访，手术治疗的效果明显优于保守治疗。对于20例患者，计算机断层扫描在显示病变愈合方面优于X线片。我们得出结论，计算机断层扫描不仅对诊断有用——即确定病变的范围和精确位置——而且对随访也有用。
