设为首页 | 收藏本站
文献信息详细页面
文献标题：
Gray-scale and color Doppler ultrasonographic evaluation of reactivated post-traumatic/postoperative chronic osteomyelitis.
参考中文标题：
灰阶和彩色多普勒超声评价恢复post-traumatic/postoperative慢性骨髓炎。
文献摘要：
OBJECTIVE: We aimed to carry out a systematic assessment of gray-scale and color Doppler ultrasonography (CDUS) findings of reactivated post-traumatic/postoperative chronic osteomyelitis (COM) in adults. MATERIALS AND METHODS: Gray-scale and color Doppler ultrasonography were performed on 40 consecutive patients with a history of long-standing post-traumatic/post-operative chronic osteomyelitis and clinical suggestion of reactivation, in a 32-month-period. All patients had metallic implants: 16 internal fixations, nine external fixations, 11 hip arthroplasties and four knee arthroplasties. The final diagnosis of reactivated COM was based upon biopsy findings, with microbiological and histological examination (n = 27), or a combination of laboratory, clinical and magnetic resonance (MR) findings (n = 13). The sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) of sonographic signs, including fistulous tracts, periosteal thickening, cortical discontinuity, soft tissue abscess and cellulitis, juxtacortical fluid, distension of the pseudocapsule in arthroplasties, and periosteal vascularity, were estimated. RESULTS: Statistically significant differences between patients with and without reactivated COM were found for fistulous tracts (P < 0.0001), juxtacortical fluid collections (P < 0.001) periosteal thickening (P < 0.01), distension of pseudocapsule (P < 0.05), and periosteal vascularity (P < 0.0001). Low-resistance arterial flow of periosteal vessels presented the highest sensitivity (92%), specificity, and PPV (100%), yielding only two false negative results in two obese patients. Among gray-scale findings, the presence of a fistulous tract yielded the highest specificity and PPV (100%), whereas periosteal thickening was the most sensitive (92%), though not specific, finding (specificity 50%). CONCLUSION: A constellation of gray-scale and CDUS findings can be highly indicative of reactivated bone infection in patients with long-standing chronic post-traumatic/post-operative osteomyelitis.
参考中文摘要：
目的：我们的目的是进行系统的评估灰阶和彩色多普勒超声（彩超）结果，重新post-traumatic/postoperative慢性骨髓炎（ COM ）的成年人。材料与方法：灰阶及彩色多普勒超声分别对40例患者的历史长期post-traumatic/post-operative慢性骨髓炎及临床建议，重新启动，在32个月的期间。所有患者均有金属植入： 16内固定， 9外部固定， 11髋arthroplasties和四个膝盖arthroplasties 。最后诊断启动的COM是根据活检结果，与微生物和组织学检查（ 27例） ，或结合的实验室，临床和磁共振（先生）的调查结果（ 13例） 。的敏感性，特异性，阳性预测值（ PPV ）服务和阴性预测值（净现值）的超声迹象，包括瘘道，骨膜增厚，骨皮质不连续的问题，软组织脓肿，蜂窝组织炎，皮质旁液，腹胀的pseudocapsule在arthroplasties和骨膜血管，估计。结果：统计学患者之间的差异和不启动的COM被发现的瘘道（ P “ 0.0001 ） ，皮质旁流体收藏（ P ” 0.001 ） ，骨膜增厚（ P “ 0.01 ） ，腹胀的pseudocapsule （ P ” 0.05 ） ，骨膜血管（ P “ 0.0001 ） 。低阻力动脉血流的骨膜血管提交最高灵敏度（ 92 ％ ） ，特异性及阳性（ 100 ％ ） ，收益率只有两个假阴性结果在两个肥胖患者。在灰阶结果，在场的情况下瘘道带来了最高的特异性和阳性（ 100 ％ ） ，而骨膜增厚是最敏感（ 92 ％ ） ，但并不具体，寻找（特异性50 ％ ） 。结论：一个星座的灰阶和彩超结果可以高度表明恢复骨感染患者长期慢性post-traumatic/post-operative骨髓炎。
文献作者：
暂不显示,提交全文请求后在论坛显示
作者单位：
2nd Department of Radiology, Attikon General University Hospital, National and Kapodistrian University of Athens, Rimini 1, Haidari, Athens, 12 464, Greece.
文献来源：
Skeletal radiology. 38(4):363-9, 2009 Apr.
NLM刊名：
Skeletal radiology 浏览此刊所有文献
出版国家：
所用语言：
ENG
全文链接：
中文提供：
机器翻译 修改
求助全文：
绿色通道(应助快,成功概率高) 求助参考文献信息 求助引文信息
求助翻译：
求助文摘人工翻译(10医币以下会员每天限1篇，违则禁止求助)
相关链接：
medline pubmed Google Scholar
国内馆藏：
（需要消耗1医币）
国际馆藏：
PMID及链接：
19082589 http://www.syyxw.com/Archive/Detail/19082589
 
关于我们 | 下载中心 | 欢迎加盟 | 联系我们 | 投诉建议 | 常见问题 | 网站地图
Copyright © 2010 双语医学网版权所有