足部疼痛患者足副舟骨的发生率及其解剖变异类型的X线片表现  

A retrospective analysis of the incidence of scaphoid and anatomical variation of X-ray films in patients with foot pain

作　　者：李惠贞 肖亚杰 刘振玉[1] 么荣荣[1] LI Hui-zhen;XIAO Ya-jie;LIU Zhen-yu;YAO Rong-rong(Department of Interventional Radiology,the first affiliated Hospital of Jiamusi University,Jiamusi,Heilongjiang,154000,China)

机构地区：[1]佳木斯大学附属第一医院介入放射科,黑龙江154000 [2]佳木斯大学附属第一医院骨一科,黑龙江154000

出　　处：《中国骨与关节杂志》2019年第1期56-60,共5页Chinese Journal of Bone and Joint

摘　　要：目的探讨足部疼痛患者足舟骨副骨的发病率和解剖变异类型在X线片上的表现,提高对本病的认识。方法回顾性分析佳木斯大学附属第一医院2016年12月1日至2017年12月1日期间708例(男346例,女362例)患有慢性足部疼痛或创伤后持续性足部疼痛患者的足部正斜位X线片,以确定足舟骨副骨与性别相关的发生率和解剖变异类型。结果 708例(20.3%),男63例,女81例,平均年龄(46.15±17.26)岁,年龄范围为(14～88)岁,发现足舟骨副舟骨。51～60岁的患者出现足舟骨副骨比重最高(20.8%),其中女性的发生风险稍高。在144例足舟骨副骨中,I型的发生率为24.3%(35/144),Ia型为8.3%(12/144),Ib型为6.3%(9/144),Ic型为9.7%(14/144)。II型为44.4%(64/144) IIA型占20.8%(30/144),IIAa型为5.6%(8/144),IIAb型为6.9%(10/144),IIAc型为8.3%(12/144)。IIB型占23.6%(34/144),IIBa型为8.3%(12/144),IIBb型为6.3%(9/144),IIBc型为9.0%(13/144)。III型占31.2%(45/144),IIIa型为9.0%(13/144),IIIb型为11.8%(17/144),IIIc型为10.4%(15/144)。I、II型的发病率在男女之间差异不大。而III型中男性的发病率较高。结论大约1/5 (20.3%)的足部疼痛患者表现为足舟骨副骨,其中最常见的为II型,最常受影响为中年患者。因此,足舟骨副骨可能不如先前认为的那么罕见,更好的认识足舟骨副骨可以为临床更好诊断。Objective To explore the incidence of accessory scaphoid bone and anatomical variation on the X-ray of patients with foot pain,and to improve the understanding of this disease.Methods A retrospective analysis of 708 patients(346 males;362 females,chronic foot pain or persistent post-traumatic foot pain)had been conducted from December 1,2016 to December 1,2017.X-ray AP and oblique views of the foot were analyzed to determine the gender-related incidence and anatomical variation of the accessory scaphoid bone.Results Accessory scaphoid bone was observed in 708 cases(20.3%,63 males and 81 females),with an average age of(46.15±17.26)years(range:14-88 years).Patients from 51 to 60 years had the highest proportion(20.8%),among whom females had slightly higher risks.In 144 cases of scaphoid:type I 24.3%(35/144),type Ia 8.3%(12/144),type Ib 6.3%(9/144),and type Ic 9.7%(14/144);type II 44.4%(64/144),IIA 20.8%(30/144),IIAa 5.6%(8/144),IIAb 6.9%(10/144),and IIAc 8.3%(12/144);type IIB 23.6%(34/144),type IIBa 8.3%(12/144),type IIBb 6.3%(9/144),and type IIBc 9.0%(13/144);type III 31.2%(45/144),type IIIa 9.0%(13/144),type IIIb 11.8%(17/144),and type IIIc 10.4%(15/144).The incidence of type I and type II were approximately equal between male and female.while the incidence of type III was higher in male.Conclusions About one-fifth(20.3%)of patients with pain in the foot exhibits accessory scaphoid bone.Type II is most common and middle-aged patients are most commonly affected.It is less rare than previously thought,and a better understanding is needed for better diagnosis.

关 键 词：足舟骨副骨 X线片 分型 诊断 

分 类 号：R816.8[医药卫生—放射医学] R445[医药卫生—临床医学]