摘要
目的分析成人骨关节疾病患者跟骨X线影像学特征及对疾病诊断的影响。方法选取2019年6月至2022年6月济宁医学院附属医院收治的骨关节疾病患者78例(156个踝关节)为研究对象,其中骨关节炎72例、大骨节病6例;另选取同期在该院健康体检的50名志愿者为对照组,均行跟骨X线片检查,并采用受试者工作特征(ROC)曲线分析跟骨X线参数预测成人骨关节疾病的诊断效能。结果72例骨关节炎患者中,跟骨X线改变为关节面硬化63例,占87.50%;距下关节间隙变窄47例,占65.28%;距下关节间隙消失14例,占19.44%。6例大骨节病患者中,跟骨X线改变为关节面硬化6例,距下关节间隙变窄4例,距下关节间隙消失2例。大骨节病组患者跟骨长度、跟骨高度、跟骨Bohler角、跟骨Gissane角、跟骨倾斜角均小于骨关节炎组和对照组,跟骨高-长比值大于骨关节炎组和对照组,差异均有统计学意义(均P<0.05);骨关节炎组患者跟骨长度、跟骨高度、跟骨Bohler角、跟骨Gissane角、跟骨倾斜角均小于对照组,跟骨高-长比值大于对照组,差异均有统计学意义(均P<0.05)。ROC曲线分析显示,跟骨Bohler角、跟骨Gissane角及跟骨高-长比值预测骨关节疾病(72例骨关节炎患者)的灵敏度分别为92.5%、87.6%和80.4%,特异度分别为73.0%、68.8%和63.1%。结论成人骨关节疾病患者跟骨X线表现差异较大,其中跟骨Bohler角、跟骨Gissane角及跟骨高-长比值对骨关节炎的判定具有一定准确性。
Objective To analyze the X-ray imaging characteristics of calcaneus in adult patients with osteoarticular diseases and its impact on disease diagnosis.Methods Totally 78 patients(156 ankle joints)with osteoarticular diseases admitted to the Affiliated Hospital of Jining Medical University from June 2019 to June 2022 were selected as research subjects,including 72 cases of osteoarthritis and 6 cases of Kashin-Beck disease.Another 50 volunteers who underwent health examination in this hospital during the same period were selected as control group,all of them underwent calcaneal X-ray examination.Receiver operating characteristic(ROC)curve was used to analyze the diagnostic efficacy of calcaneal X-ray parameters in predicting adult osteoarticular diseases.Results Among 72 patients with osteoarthritis,63 cases(87.50%)showed joint surface sclerosis in the calcaneal X-ray changes.Forty-seven cases(65.28%)had narrowing of the subtalar joint space;14 cases showed disappearance of the subtalar joint space,accounting for 19.44%.Among the 6 patients with Kashin-Beck disease,the X-ray changes of the calcaneus showed joint surface sclerosis in 6 cases,narrowing of the subtalar joint space in 4 cases,and disappearance of the subtalar joint space in 2 cases.The length,height,Bohler angle,Gissane angle,and inclination angle of the calcaneus in patients with Kashin-Beck disease were all smaller than those in the osteoarthritis group and the control group,the height to length ratio of the calcaneus was higher than that in the osteoarthritis group and the control group,and the difference was statistically significant(P<0.05).The length,height,Bohler angle,Gissane angle,and inclination angle of the calcaneus in patients of the osteoarthritis group were all smaller than those in the control group,and the height to length ratio of the calcaneus was higher than that in control group,and the difference was statistically significant(P<0.05).ROC curve analysis showed that the sensitivity of Bohler angle,Gissane angle,and the height to length ratio of the calcaneus in predicting osteoarticular diseases(72 patients with osteoarthritis)were 92.5%,87.6%and 80.4%,respectively,with specificity of 73.0%,68.8%and 63.1%,respectively.Conclusion The calcaneal X-ray manifestations of adult patients with osteoarticular diseases vary greatly,among which Bohler angle,Gissane angle,and height to length ratio of the calcaneus have certain accuracy in diagnosis of osteoarthritis.
作者
马云通
胡东玉
孙圣峰
武庆全
李光香
Ma Yuntong;Hu Dongyu;Sun Shengfeng;Wu Qingquan;Li Guangxiang(Department of Interventional Radiology,Affiliated Hospital of Jining Medical University,Jining 272029,China;Department of Oncology,Affiliated Hospital of Jining Medical University,Jining 272029,China;Department of Medical Imaging,Affiliated Hospital of Jining Medical University,Jining 272029,China)
出处
《中华地方病学杂志》
CAS
北大核心
2024年第8期666-669,共4页
Chinese Journal of Endemiology
关键词
骨关节疾病
放射摄影术
跟骨X线表现
诊断
Osteoarticular diseases
Radiography
Calcaneal X-ray findings
Diagnosis
作者简介
通信作者:马云通,Email:mayuntong1230@163.com
