超声成像作为田径运动员应力性骨损伤初步检查工具的实验探究  

Ultrasound Imaging of Bone Damage,As the Initial Inspection Tool to Explore Track and Field Athletics Bone Stress Injuries

作　　者：陆海英[1] 

机构地区：[1]湖南工业大学,湖南长沙412000

出　　处：《广州体育学院学报》2015年第6期94-96,99,共4页Journal of Guangzhou Sport University

基　　金：湖南省教育厅科学研究项目(10C0640)

摘　　要：研究背景:田径运动员中,应力性骨损伤是较为常见的一种骨损伤。但目前为止,超声成像作为一种检查手段来检查这类运动员损伤还知之甚少。研究方法:113名田径运动员为研究对象,同时利用高频超声和核磁共振(MRI)成像,对运动员们的腿部和脚部进行应力性骨损伤检查。利用5级核磁共振(MRI)损伤分级系统作为参照,我们对比了高频超声与核磁共振(MRI)成像在灵敏度,准确性,以及阴性和阳性检查结果的差异。结果:113名运动员同时进行两种检查手段进行检查,核磁共振(MRI)检查组结果为:0级损伤3名(2.7%),1级损伤12名(10.6%),2级损伤15名(13.3%),3级损伤77名(68.2%),4级损伤6名(5.3%)。高频超声检查结果为:22名运动员没有检测到损伤:0级损伤2名,1级损伤8名,2级损伤8名,3级损伤4名,其余结果一致。统计结果表明,以核磁共振(MRI)为参照检测工具,超声成像检测手段表现出了81.8%的灵敏度,99%的阳性检测,13.4%的阴性检测以及81.4%的准确性。结论:作为一种较为方便的检查手段,高频超声是一种可靠的检查应力性骨损伤的手段。Background： Among track and field athletes,bone stress injury is a common form of bone damage. But so far,ultrasound imaging as a screening tool to check the kind of athlete injury is still poorly understood. Methods： 113 Athletes took part in the study,at the same time,applied the use of high- frequency ultrasound and magnetic resonance imaging（ MRI）imaging,for athletes＇ leg and foot bone stress injury. With the use of five nuclear magnetic resonance（ MRI） damage classification system as a reference,we compared the high- frequency ultrasound and magnetic resonance（ MRI） imaging differences in sensitivity,accuracy,and positive and negative results. Results： 113 players simultaneously inspect two inspection methods,magnetic resonance imaging（ MRI） examination Group results： Level 0 was 3（ 2. 7%）,Level 1 was 12（ 10. 6%）,Level 2 was 15（ 13. 3%）,Level 3 was 77（ 68. 2 percent）,Level 4 was 6（ 5. 3%）. High frequency ultrasound results： 22 players did not detect damage： Level 0 got 2,Level 1 got 8,Level 2 got 8,Level 3 got 4,and the remaining results were consistent. Statistical results showed that compared with magnetic resonance（ MRI）,as a reference detection tools,ultrasound imaging detection methods showed 81. 8% sensitivity,99% of the positive test,13. 4 percent and 81. 4 percent negative test accuracy. Conclusion： As a more convenient means of inspection,high- frequency ultrasound is a reliable means of checking the bone stress injuries.

关 键 词：运动员 应力性骨损伤 医学超声成像 可靠性 

分 类 号：G804.2[文化科学—运动人体科学]