Hencey J Y, Vermess M, van Geertruyden H H, Binard J E, Manchepalli S
Department of Radiology, University of South Florida College of Medicine, Tampa, USA.
J Spinal Cord Med. 1996 Jan;19(1):5-8. doi: 10.1080/10790268.1996.11719410.
The purpose of our study was to use magnetic resonance imaging (MRI) to determine deep changes in soft tissues and bones underlying decubitus ulcers which occur in spinal cord injury (SCI) patients. By diagnosing these deep changes adjacent to decubitus ulcers, MRI can facilitate proper clinical management and prevent contraindicated surgery. MRI evaluation was performed on 37 male SCI patients for a total of 44 diagnostic studies. The studies were evaluated by the following criteria: 1) the presence of an adjacent fluid collection, 2) bone involvement raising the possibility of osteomyelitis and 3) heterotopic bone formation. Results demonstrated 11 patients (29.7 percent) with fluid collection in the deep soft tissues underlying the decubitus ulcer and eight patients (21.6 percent) with abnormal adjacent bone marrow signal. Four patients (10.8 percent) had heterotopic bone formation near the ulcer. We conclude that MRI is helpful in determining the depth and extent of soft tissue involvement underlying decubitus ulcers including underlying fluid collections, heterotopic bone formation and evidence of adjacent bone marrow edema. This is beneficial in planning proper therapy.
我们研究的目的是利用磁共振成像（MRI）来确定脊髓损伤（SCI）患者发生的褥疮下方软组织和骨骼的深部变化。通过诊断褥疮附近的这些深部变化，MRI有助于进行适当的临床管理并防止不适当的手术。对37名男性SCI患者进行了MRI评估，共进行了44项诊断研究。这些研究按以下标准进行评估：1）存在相邻的液体积聚；2）骨骼受累增加了骨髓炎的可能性；3）异位骨形成。结果显示，11名患者（29.7%）在褥疮下方的深部软组织中有液体积聚，8名患者（21.6%）相邻骨髓信号异常。4名患者（10.8%）在溃疡附近有异位骨形成。我们得出结论，MRI有助于确定褥疮下方软组织受累的深度和范围，包括深部液体积聚、异位骨形成以及相邻骨髓水肿的证据。这对规划适当的治疗有益。
