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。

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.

目的 观察自拟中药方内服外洗结合冲击波治疗足底筋膜炎的临床疗效。方法 收集在我院门诊就诊的符合条件足底筋膜炎患者50例,采用自拟四物四藤汤内服外洗结合冲击波治疗,运用VAS评分法及疼痛减轻百分数评定治疗前与治疗后1周、2周、1月的疗效比较。结果 治疗前后VAS评分比较(P<0.05),组间比较有统计学意义,且前两周效果更明显,总有效率为94.00%,患者满意度为96.00%。结论 本治疗方法对足底筋膜炎是有明显疗效的,可以在临床上进一步推广验证。

Objective To observe clinical curative effect of TCM oral use and external wash combined with application of shock wave in the treatment of plantar fasciitis. Methods To collect 50 cases of patients with plantar fasciitis in our hospital clinic,use Siwusiteng medical herbal decoction combined with shock wave treatments, elevate VAS score and the percentage of pain relief before and after treatment at 1 week, 2 weeks, and 1 month. Results VAS score before and after treatment was statistically significant(P<0.05), and the effect of the first two weeks is more obvious. The total effective rate was 94.00%,patient satisfaction was 96.00%. Conclusion This treatment has obvious curative effect on plantar fasciitis, and it could be further promoted in clinical verification.