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| 糖尿病足隐性期足部肌腱的多排螺旋CT特征 |
| 葛琛瑾1,王培军1,舒政2*,曹烨民3,邓小飞2,陈雯2 |
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(1. 同济大学附属同济医院医学影像科, 上海 200065;
2. 上海市中西医结合医院医学影像科, 上海 200082;
3. 上海市中西医结合医院脉管科, 上海 200082
*通信作者) |
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| 摘要: |
| 目的：探讨糖尿病足隐性期(Wagner 0级)患者足部肌腱的多排螺旋CT改变及其临床价值。方法：回顾性分析2011年1月-2013年12月间本院脉管科确诊的63例糖尿病足隐性期患者和33例正常对照组足部肌腱的多排螺旋CT检查资料。测量跟腱和足底腱膜的厚度、密度(CT值)，观察肌腱边缘及邻近软组织情况，并与正常对照组进行比较；进一步探讨糖尿病足隐性期患者跟腱和足底腱膜的厚度、密度与患者空腹血糖及糖化血红蛋白的相关性。结果：糖尿病足隐性期患者跟腱及足底腱膜均比正常对照组厚(t值分别为3.157、4.462，P＜0.05)，密度均低于正常对照组(t值分别为2.176、2.815，P＜0.05)。糖尿病足隐性期患者大部分跟腱、足底腱膜边界模糊，周围软组织肿胀；而正常对照组跟腱、足底腱膜边界清楚，周围软组织未见异常。相关分析显示糖尿病足隐性期患者跟腱、足底腱膜厚度与糖化血红蛋白呈正相关，跟腱、足底腱膜密度与糖化血红蛋白呈负相关。结论：多排螺旋CT能良好的评价糖尿病足隐性期患者足部肌腱改变，有助于临床早期诊治糖尿病足。 |
| 关键词: 糖尿病 糖尿病足 肌腱病 X线计算机体层摄影术 |
| DOI：10.16781/j.0258-879x.2016.12.1574 |
| 投稿时间：2016-05-03修订日期：2016-08-12 |
| 基金项目:上海市虹口区卫生局重点课题（虹卫1202-04），上海市虹口区临床医学优秀青年人才培养计划（虹卫-2013）. |
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| Multi slice spiral CT characteristics of tendon in presymptomatic diabetic foot |
| GE Chen-jin1,WANG Pei-jun1,SHU Zheng2*,CAO Ye-min3,DENG Xiao-fei2,CHEN Wen2 |
(1. Department of Medical Imaging, Tongji Hospital, Tongji University School of Medicine, Shanghai 200065, China;
2. Department of Medical Imaging, Shanghai TCM-integrated Hospital, Shanghai 200082, China;
3. Department of Traditional Chinese Surgery, Shanghai TCM-Integrated Hospital, Shanghai 200082, China
* Corresponding author) |
| Abstract: |
| Objective：To study the MSCT findings and clinical value of tendon in previous diabetic foot (Wegener 0 grade). Methods：MSCT data from 63 patients with previous diabetic foot and 33 cases of control group at our department from January 2011 to December 2013 were analyzed retrospectively. All patients were measured the thickness and CT value of the Achilles tendon and plantar aponeurosis, observed the tendon margin and recorded other imaging findings in foot. All patients with previous diabetic foot were further investigated the correlation of the thickness of tendon and the fasting blood glucose, the thickness of tendon and glycosylated hemoglobin, the CT value of tendon and the fasting blood glucose, the CT value of tendon and the glycosylated hemoglobin. Results：The thickness of Achilles tendon and plantar aponeurosis increased, compared to that in the control group (t=3.157, 4.462, P＜0.05). The density of Achilles tendon and plantar aponeurosis were lower than that of in the control group (t=2.176, 2.815, P＜0.05). The majority margin of the Achilles tendon and plantar aponeurosis were indistinct and the swelling foot tissues were showed in previous diabetic foot patients. While smooth-edges and normal foot tissues were demonstrated in the control group. Further correlation analysis showed a positive correlation between the thickness of tendon and glycosylated hemoglobin. The negative correlation was found between the density of tendon and glycosylated hemoglobin. Conclusion：MSCT could evaluate the tendon lesion in previous diabetic foot patients that is available to diagnose and treat the diabetic foot in early stage. |
| Key words: diabetes mellitus diabetic foot tendionopathy X-ray computed tomography |
