足底筋膜炎的彩超成像与MRI成像特点的对比分析  

Comparative Analysis of Imaging Characteristics of Plantar Fasciitis by Color Doppler Ultrasonography and Magnetic Resonance Imaging

作　　者：余雪玲[1] 张立[2] 杨燕华[1] 丁莹 Yu Xueling(Guangzhou Development Zone Hospital ,Guangzhou, Guangdong 510730)

机构地区：[1]广州开发区医院功能科,广东广州510730 [2]广州开发区医院放射科,广东广州510730

出　　处：《黑龙江医药》2019年第3期528-530,共3页Heilongjiang Medicine journal

基　　金：广州市黄埔区科技计划项目(项目编号:201620)

摘　　要：目的:对比分析足底筋膜炎的彩超成像与MRI成像的特点。方法:选择于2016年5月-2018年6月间因足底疼痛而到我院骨科就诊的足底筋膜炎患者共56例,对所有患者分别实施彩超、MRI技术检查诊断,对比两种检查诊断方法对患者患侧、健侧足底筋膜厚度以及评测者之间的相关系数。结果:经MRI检查结果显示,在56例患者中,共有42例临床表现为跟骨骨髓水肿、有22例检查结果显示为足底筋膜内肌腱信号改变。MRI对患者患侧、健侧足底筋膜检测厚度较彩超更高,差异有统计学意义(P<0.05);MRI诊断后患者的患侧与健侧ICC(患者患侧、检测足底筋膜厚度、评测者间相关系数)值较彩超更高,差异有统计学意义(P<0.05)。结论:使用MRI成像技术对足底筋膜炎疾病检查,可明确患者足底筋膜厚度、显示信号改变,对筋膜周围软组织肿胀改变、跟骨骨髓水肿程度有效诊断,可将其作为临床上对足底筋膜炎疾病诊断的首选方法。Objective: To compare and analyze the characteristics of color Doppler ultrasonography and magnetic resonance imaging in plantar fasciitis. Methods: A total of 56 cases of plantar fasciitis patients admitted to the orthopedics department of our hospital due to plantar pain between May 2016 and June 2018 were selected. All patients were examined and diagnosed by color doppler ultrasound and MRI respectively, the correlation coefficients of the two diagnostic methods on the thickness of the foot bottom fascia of the affected side and the healthy side and the evaluators were compared. Results: The results of MRI showed that 42 cases of calcaneal bone marrow edema and 22 cases of plantar intrafascial tendon signal changes in 56 patients. The thickness of plantar fascia detected by MRI was higher than that by color Doppler ultrasonography ( P <0.05), and the ICC (the correlation coefficient between the affected side, the thickness of plantar fascia detected and the assessor) was higher than that by color Doppler ultrasonography ( P <0.05).Conclusion: The thickness of plantar fascia and the change of signal can be determined by examining the disease of plantar fasciitis with MRI imaging technology. It is an effective diagnosis for the change of soft tissue swelling around fascia and the degree of bone marrow edema in calcaneus, it can be used as the first choice for clinical diagnosis of plantar fasciitis.

关 键 词：足底筋膜炎 彩超成像 MRI成像 临床价值 

分 类 号：R445.1[医药卫生—影像医学与核医学] R686.3[医药卫生—诊断学]