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[超声在皮质切开术-骨痂牵张中的可能应用]

[Possible applications of ultrasound in corticotomy-callus distraction].

作者信息

Gruber G, Fischer J, Konermann W, Krieger M

机构信息

Orthopädische Klinik am Klinikum der Justus-Liebig-Universität, Giessen.

出版信息

Aktuelle Radiol. 1995 Jul;5(4):268-73.

PMID:7548258
Abstract

Sonographic examination can yield additional information in the course of corticotomy-callus distraction. Hence, we focus on individual slices--which are different from the standardised ultrasound examination of the skeleton system--in the area of the corticotomy-callus distraction. In ultrasound examination the structure of corticalis in the field of corticotomy is scanned circularly. Depending on the point of time of the corticotomy between the structure of corticalis, the callus can be visualised sonographically. The callus distraction can be divided into three stages: I. echo-poor structure between the two ends of the corticalis, II. echo-rich structure between the two ends of the corticalis, III. area of corticalis in the area of distraction with (III a), visualised without (III b) break. The described method is an additional low-cost imaging procedure in diagnosis, for the patient free of radiation and stress, which can yield additional information during and after completed callus distraction (question of permissible emotional stress). The examination is reproducible. The x-ray-controls in the course of time are mandatory, because the sonographic examination cannot judge reliably the deviation of the axis in the area of callus distraction.

摘要

超声检查在皮质切开术-骨痂牵张过程中可提供额外信息。因此,我们关注皮质切开术-骨痂牵张区域的单个切片,这与骨骼系统的标准化超声检查不同。在超声检查中,对皮质切开术区域的皮质结构进行环形扫描。根据皮质切开术时间点与皮质结构的关系,可通过超声观察到骨痂。骨痂牵张可分为三个阶段:I. 皮质两端之间的低回声结构;II. 皮质两端之间的高回声结构;III. 牵张区域的皮质区域,其中(III a)可观察到皮质连续性,(III b)未观察到皮质中断。所述方法是一种额外的低成本诊断成像程序,对患者无辐射且无应激,在骨痂牵张期间及完成后均可提供额外信息(关于可允许的情绪应激问题)。该检查具有可重复性。由于超声检查无法可靠判断骨痂牵张区域的轴线偏差,因此在整个过程中进行X线检查是必要的。

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