| 糖尿病性夏科氏足影像表现的回顾分析 |
| |
| 引用本文： | 王硕,刘焕宁,王江宁,谢惠敏,郑海亮.糖尿病性夏科氏足影像表现的回顾分析[J].CT理论与应用研究,2020,29(1):39-48. |
| |
| 作者姓名： | 王硕 刘焕宁 王江宁 谢惠敏 郑海亮 |
| |
| 作者单位： | 1. 首都医科大学附属北京世纪坛医院矫形外科(糖尿病足治疗中心, 骨科实验中心), 北京 100038; |
| |
| 基金项目： | 北京市自然科学基金（1152003）；解放军总医院临床扶持基金军事专项面上项目（2018FC-WJFWZX-2-21）。 |
| |
| 摘 要： | 目的:探讨糖尿病性夏科氏(Charcot)足的影像学特征特点,为诊断提供临床依据。材料和方法:回顾性分析2016年1月至2019年9月间本院16例经手术治疗的糖尿病性夏科氏足影像学表现。结果:16个病例均存在不同程度的局部破溃感染、渗液。X线表现描述骨质疏松13人,骨质破坏10人,骨质增生6人,关节畸形12人(包括足部小关节),骨断裂1人,关节面/关节间隙变化4人,软组织肿胀11人。CT和MRI显示足部结构紊乱,各骨形态异常,关节对位不良。MRI提示骨髓、软组织水肿,液体信号异常。CTA可见小腿动静脉瘘。结论:糖尿病性夏科氏足的影像学诊断以骨质破坏与塑性为主,影像学表现早期难与其他疾病相鉴别,需根据临床患者糖尿病周围神经病变病史及CT和MRI相结合,CTA在夏科氏足的诊断中有其独特的影像提示。
|
| 关 键 词： | 糖尿病足 夏科氏(Charcot)足 影像表现 |
| 收稿时间： | 2019-11-19 |
A Retrospective Analysis of the Imaging Manifestations of Diabetic Charcot's Foot |
| |
| Affiliation: | 1. Orthopaedic surgery (diabetic foot treatment center, orthopaedic experimental center) Beijing Shijitan Hospital, Capital Medical University, Beijing 100038, China;2. Department of rehabilitation medicine, General hospital of the people's liberation army of China, Beijing 100853, China |
| |
| Abstract: | To investigate the imaging characteristics of diabetic Charcot foot and provide clinical basis for diagnosis. Materials and methods:the imaging findings of 16 cases of diabetic Charcot treated by surgery in our hospital between January 2016 and September 2019 were retrospectively analyzed. Results:There were local ulceration infection and effusion in 16 cases. X-ray manifestations described osteoporosis in 13 patients, bone destruction in 10 patients, bone hyperplasia in 6 patients, joint deformity in 12 patients (including foot joints), bone fracture in 1 patient, change in articular surface/joint space in 4 patients, and soft tissue swelling in 11 patients respectively. CT and MRI showed disorganized foot structure, abnormal bone morphology and poor joint alignment. MRI showed edema of bone marrow and soft tissue and abnormal fluid signal. CTA showed arteriovenous fistula of the lower leg. Conclusion:the imaging diagnosis of diabetic Charcot foot is mainly bone destruction and plasticity, and the early imaging manifestations are difficult to differentiate from other diseases, which should be based on clinical patients with diabetic peripheral neuropathy |
| |
| Keywords: | |
| 本文献已被 维普 等数据库收录！ |
| 点击此处可从《CT理论与应用研究》浏览原始摘要信息 |
|
点击此处可从《CT理论与应用研究》下载全文 |
|
