摘要
笔者对54例手足骨冻伤的X线平片与选择性锁骨下动脉血管造影结果进行了对照分析。提出了骨冻伤平片X线分型,即:I型:骨质疏松,大部分是活骨,为轻型骨冻伤;II型:皮质下骨吸收,关节面呈条形相对密度增高伴周围骨的骨质疏松;III型:骨破坏及坏死,为死骨吸收期。笔者认为,X线平片与血管造影综合检查对冻伤后早期骨变化能作出较为明确的诊断,而且对治疗选择和预后评估都有一定的意义。
This article reported the results of correlative study between radiographic findings and seleetive subelavian arteriographic findings in 54 cases of frostbite of the bones of the bands and feet.Based on this analysis,a radiologic classification was proposed:Type I:Osteoporosis,mostly living bone,frostbitc of mild degree;Type II:subcortical bone resorption with stripes of increased density and surrounding osteoporosis.Type III: Bone destruction and necrosis stage of absorntion of necrotic bone.The authors suggested that plain radiography in combination with arteriography is valuable in early diagnosis of the bony changes in frostbite, selection of appropriate therapy as well as estimation of prognosis.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
1994年第5期325-328,共4页
Chinese Journal of Radiology