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[计算机断层扫描在下肢及骨盆慢性骨髓炎综合放射学诊断中的应用]

[Computed tomography in the comprehensive radiologic diagnosis of chronic osteomyelitis of the lower extremities and pelvis].

作者信息

Karmazanovskiĭ G G, Vasilév N A, Amiraslanov Iu A, Mitish V A, Shalchkova L P

出版信息

Vestn Ross Akad Med Nauk. 1994(6):45-8.

PMID:7522703
Abstract

The role of computed tomography in multimodality radiation diagnosis was assessed in the treatment of chronic osteomyelitis of the lower extremity and pelvis in 218 patients (128 with posttraumatic osteomyelitis, 46 with hematogenic osteomyelitis of long bones, and 19 with chronic pelvic osteomyelitis) aged 16-78 years. Computed tomography was used to specify the symptomatology of chronic osteomyelitis, to define indications for radical surgical treatment. The soft tissues of the shin were studied in patients with chronic osteomyelitis versus lymphedema in 103 patients, post-thrombophlebitic syndrome in 17, acute wound infection in 9. The symptomatology of osseous regenerate in distraction osteosynthesis was studied (120 computed tomograms). It has been indicated that computed tomography is effective in studying the chronic osteomyelitis-inflicted extremity and pelvis in the pre- and postoperative periods.

摘要

在对218例年龄在16至78岁的下肢和骨盆慢性骨髓炎患者(128例创伤后骨髓炎、46例长骨血源性骨髓炎和19例慢性骨盆骨髓炎)的治疗中,评估了计算机断层扫描在多模态放射诊断中的作用。计算机断层扫描用于明确慢性骨髓炎的症状,确定根治性手术治疗的指征。对103例慢性骨髓炎合并淋巴水肿、17例血栓形成后综合征、9例急性伤口感染患者的小腿软组织进行了研究。对牵张成骨术中骨再生的症状进行了研究(120张计算机断层扫描图像)。结果表明,计算机断层扫描在术前和术后对慢性骨髓炎累及的肢体和骨盆的研究中是有效的。

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