跟腱几何形态特征与跟腱病关系的MRI评价  

MRI in evaluation to relationship between the geometric characteristics of Achilles tendon and Achilles tendinopathy

作　　者：路明 叶飞 侯羽宇 潘鑫 安冬清 陈穹 LU Ming;YE Fei;HOU Yuyu;PAN Xin;AN Dongqing;CHEN Qiong(Department of Radiology,Dahua Hospital in Xuhui District,Shanghai 200237,China)

机构地区：[1]上海市徐汇区大华医院放射科,上海200237

出　　处：《中国中西医结合影像学杂志》2024年第5期589-593,共5页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:通过MRI探讨跟腱几何形态特征与跟腱病的关系。方法:回顾性分析56例跟腱病变患者(跟腱病组)及50例健康跟腱者(对照组)的临床和影像学资料,分析2组跟腱的侧别、性别、几何特征。结果:106例踝关节MRI检查包括56例右踝和50例左踝。跟腱病组跟腱几何形态特征在不同性别和侧别间差异均无统计意义(均P>0.05)。对照组男、女跟腱最大厚度(APM)分别为(4.7±0.4)、(4.4±0.5)mm;男、女跟腱最粗部分与跟腱跟骨插入点近端距离(MKPM)分别为(18.4±3.1)、(16.1±4.3)mm,差异均有统计学意义(均P<0.05)。与对照组相比,跟腱病组的比目鱼肌与跟腱交接处至跟腱跟骨插入点近端距离(SPM)、比目鱼肌与跟腱交接处至跟腱跟骨插入点远端距离(SDM)、APM、MKPM均不同程度增大,MKPM/SPM较小,差异均有统计学意义(均P<0.05)。结论:跟腱病患者的跟腱长度、APM和MKPM较大,对诊断跟腱病具有重要价值。Objective:To investigate the relationship between the geometric characteristics of the Achilles tendon and Achilles tendinopathy using MRI.Methods:The clinical and imaging data of 56 patients with Achilles tendinopathy(Achilles tendinopathy group)and 50 patients with healthy Achilles tendon(control group)were retrospectively analyzed.The location,gender and geometric characteristics in the Achilles tendon of the two groups were analyzed.Results:The ankle MRI examination included 56 right ankles and 50 left ankles among the 106 cases.There were no statistically significant differences in the geometric characteristics of the Achilles tendon between genders or between left and right ankle in the Achilles tendinopathy group(both P>0.05).In the control group,APM in male and female were(4.7±0.4),(4.4±0.5)mm,MKPM were(18.4±3.1),(16.1±4.3)mm,respectively,the differences were statistically significant(both P<0.05).Compared to the control group,SPM,SDM,APM and MKPM in the Achilles tendinopathy group increased to varying degrees,and the ratio of MKPM to SPM ratio was smaller,the differences were statistically significant(all P<0.05).Conclusions:Achilles tendon length,APM and MKPM are larger in patients with Achilles tendinopathy,which are of significant diagnostic values.

关 键 词：跟腱病 几何形态 磁共振成像 

分 类 号：R686[医药卫生—骨科学] R445.2[医药卫生—外科学]