军训中应力性骨折预后的抽样观察  

A sampling observation of prognosis of stress fractures

作　　者：李祖国[1] 李良寿[1] 李远贵[1] 陈友绩[1] 黄久仪[1] 孙长生[1] 张世忠[1] 邓敬兰[1] 姚祖生 

机构地区：[1]西京医院核医学科,西安84803部队卫生所,洛阳解放军150医院

出　　处：《第四军医大学学报》1995年第1期34-35,共2页Journal of the Fourth Military Medical University

摘　　要：了解军训所致应力性骨折（ＳＦ）的预后及其影响因素，是ＳＦ二级预防的基础．为此，作者通过临床随访、骨闪烁成像抽样观察，对ＳＦ的预后进行了初步研究．结果表明，带伤训练易致原有病灶迁延不愈及其他骨骼的应力性损伤，个别可发展成完全性骨折．７６９例坚持带伤训练的伤员，３个月随访中２次及以上ＳＦ者７９人（１０．２％）；骨闪烁成像第一次查出松质骨部位病灶１５处，第二次扫描复查见２处迁延；而密质骨病灶１３处复查仍见１２处．可见密质骨ＳＦ愈合更慢．Knowledge of prognosis of stress fracture (SF) and its determinants is the basis of secondary pre-vention of SF. By clinical follow-up observations and sampling bone scintigraphy, it is found that trainingwith SF may delay the primary lesions healing or inflict new SF,even complete fracture. Three months fol-low-up study revealed that of the 769 cases of SF, 79(10.2%)suffered a second or even a third time; a sec-ond bone scintigraphy showed that the rate of healed lesions of spongy bones was 13/15, that of compactbones was 1/13. It also suggested that the SF of compact bones healed more slowly than spongy bones (P<0.005).

关 键 词：骨折 应力性 预后 抽样调查 军训 

分 类 号：R683[医药卫生—骨科学]