临床骨愈合评估方法研究进展  

Advances in clinical assessment of bone healing

作　　者：赵昊昱 孔令驰 杨凯[2] 徐佳[1] 康庆林[1] Zhao Haoyu;Kong Lingchi;Yang Kai;Xu Jia;Kang Qinglin(Orthopaedic Surgery,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China;Medical Iconography,Shanghai Jiao Tong University Affiliated Sixth People's Hospital,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院骨科,200233 [2]上海交通大学附属第六人民医院医学影像科,200233

出　　处：《中华创伤骨科杂志》2021年第11期1003-1007,共5页Chinese Journal of Orthopaedic Trauma

基　　金：国家自然科学基金面上项目(82072421);上海市自然科学基金项目(20ZR1442200)。

摘　　要：骨组织愈合过程复杂,影响因素多,且骨愈合的进程直接影响治疗决策,因此全面、准确地评估骨愈合状况十分重要。目前,临床上将临床表现与X线相结合作为评估骨愈合的最常用方法,而计算机断层扫描和超声作为辅助可应用于特殊部位和特殊人群。近年来,随着对骨愈合进程和骨生物力学结构的理解逐渐深入,骨愈合的评估手段也不断革新。本文将在各类骨愈合评估方法利弊、适应证以及评估手段的未来发展趋势等方面作一综述,为临床工作者提供参考。The process of bone healing is absolutely complicated and affected by a wide variety of factors.The quality of bone healing directly determines management approaches.Therefore,it is crucial to evaluate accurately outcomes of bone healing.The assessments of bone healing mostly used in current clinical practice are a combination of clinical manifestations and X-ray examination while computed tomography(CT)and ultrasound may be applied alternatively for particular parts and populations.As understanding of bone healing process and bone biomechanical structure is deepening in recent years,both traditional and novel assessments of bone healing have been well refined.This review will expound on the advantages,disadvantages and clinical indications of various assessments,as well as their future development trends,to provide useful information for clinicians.

关 键 词：骨折愈合 放射摄影影像解释 计算机辅助 评价研究 临床表现 

分 类 号：R681[医药卫生—骨科学]