广州医药 ›› 2018, Vol. 49 ›› Issue (3): 73-76.DOI: 10.3969/j.issn.1000-8535.2018.03.021

• 临床诊疗 • 上一篇    下一篇

43例足底筋膜炎的MRI诊断及特征

张立, 余雪玲, 杨燕华, 邱子维, 陈荣辉, 吴恩柱   

  1. 广州开发区医院放射科(广州 510730)
  • 收稿日期:2017-11-08 出版日期:2018-05-20 发布日期:2021-12-01

MRI diagnosis and characteristics of plantar fasciitis in 43 cases

ZHANG Li, YU Xueling, YANG Yanhua, QIU Ziwei, CHEN Ronghui, WU Enzhu   

  1. Department of Radiology, Guangzhou Development Zone Hospital, Guangzhou 510730, China
  • Received:2017-11-08 Online:2018-05-20 Published:2021-12-01

摘要: 目的 对我院43例经临床诊断及随访证实的足底筋膜炎患者MRI诊断资料进行回顾性研究,总结其MRI特征。方法 选取2016年8月—2017年8月因足底疼痛就诊的43例患者为本次研究对象,对患者进行彩超及MRI诊断,对比诊断患侧及健侧足底筋膜厚度及评测者间相关系数。结果 经临床及随访证实足底筋膜炎患者43例。MRI诊断结果:43例患者中最常见表现为足底筋膜周围软组织水肿,32例患者表现为跟骨骨髓水肿,17例患者观察到足底筋膜内肌腱信号改变。彩超及MRI诊断患侧、健侧足底筋膜厚度均有差异,MRI诊断优于对照组,组间差异有统计学意义(P<0.05);彩超及MRI评测者间相关系数有差异,MRI诊断优于对照组,组间差异有统计学意义(P<0.05)。结论 足底筋膜炎采用MRI诊断可观察到足底筋膜厚度及信号改变,对跟骨骨髓水肿、筋膜周围软组织肿胀改变程度有良好诊断表现,临床可作为足底筋膜炎诊断的首选方法。

关键词: 足底筋膜炎, 临床表现, 磁共振, 特征

Abstract: Objective The MRI diagnostic data of 43 patients with plantar fasciitis confirmed by clinical diagnosis and follow-up were retrospectively studied. Methods Selection in August 2016 to August 2017 because of a foot pain clinic of 43 patients as the research object, to colour to exceed and MRI in the diagnosis of patients with diagnosed with lateral contrast and health parapodum bottom thickness of the membrane and the correlation coefficient between the reviewers. Results 43 cases of plantar fasciitis were confirmed by clinical and follow-up. Of MRI diagnosis results: 43 cases of plantar fascia around the most common soft tissue edema, 32 patients were characterized by calcaneal bone marrow edema, 17 patients were observed in the plantar fascia tendon signal change. There were significant differences in the diagnosis and treatment of the lateral and healthy side of the MRI diagnosis, and the MRI diagnosis was significantly better than the control group, and the difference between the groups was statistically significant (P< 0.05). There was significant difference in correlation coefficient between color ultrasound and MRI. MRI diagnosis was significantly better than the control group, and the difference between groups was statistically significant (P< 0.05). Conclusion Plantar fasciitis plantar fascia was observed by MRI in the diagnosis of thickness and signal change, soft tissue around the heel bone marrow edema, fascia swelling degree of change has a good diagnosis performance, clinical can be used as the preferred methods for the diagnosis of plantar fasciitis.

Key words: Plantar fasciitis, Clinical manifestations, Magnetic resonance, Feature