CAJ | 학술논문

通过高频超声、X线、临床对胫骨结节骨软骨炎（OSD）的对比研究，探讨高频超声对OSD的诊断价值，明确OSD不同时期的声像图特征。依椐EricJ诊断标准将OSD患者21例双侧42个胫骨结节分为3组，采用高频超声技术对OSD各组及其正常对照组（21例双侧）进行扫查，同时与临床、X线检查结果进行比较。结果表明：声像图结果与临床诊断基本相符，其符合率达95％，X线检查结果与临床诊断符合率为61．9％。各组OSD患者的声像图也存在差异。提示：高频超声检查在显示滑膜囊积液、髌腱末端腱增厚及早期胫软骨侵蚀方面明显优于X线检查，不失为显示胫骨结节骨软骨炎病变的首选方法。
통과고빈초성、X선、림상대경골결절골연골염（OSD）적대비연구，탐토고빈초성대OSD적진단개치，명학OSD불동시기적성상도특정。의거EricJ진단표준장OSD환자21례쌍측42개경골결절분위3조，채용고빈초성기술대OSD각조급기정상대조조（21례쌍측）진행소사，동시여림상、X선검사결과진행비교。결과표명：성상도결과여림상진단기본상부，기부합솔체95％，X선검사결과여림상진단부합솔위61．9％。각조OSD환자적성상도야존재차이。제시：고빈초성검사재현시활막낭적액、빈건말단건증후급조기경연골침식방면명현우우X선검사，불실위현시경골결절골연골염병변적수선방법。
Through the comparison study of the three diagnostic means, namely high - frequency ultrasonography （HFU）, x- rays and clinical methods, the article evaluates the diagnostic value of HFU in the diagnosis of schlatter disease （OSD）, and investigates the distinctive features of ultrasonograph at different stages of OSD. 21 OSD recognized by Eric J diagnostic standard which are divided into 3 groups and 21 controls are studied by HFU and compared with x- rays and clinical methods. The results show that ultrasonography examination makes the to 95% same to clinical methods, while x- rays examination makes the diagnosis rate to 61.9% same diagnosis rate up to clinical methods. And the ultrasonographs of each group have difference. The article thinks that HFU, better than x - rays, is a sanative and accurate method to reveal fundamental pathological changes of OSD.