[骨显像在评估结核性和非特异性关节炎手术治疗后的修复过程中,通过约束骨移植]。

I B Savin, N A Sovetova, M S Serdobintsev, G D Nakonechnyĭ
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引用次数: 0

摘要

应用骨显像技术研究106例大关节病变患者手术后的修复过程,其中结核性关节炎及其后遗症患者76例,非特异性和肌营养不良患者30例,术前和术后2-3周(有和没有关节组织血运重建术(n = 43和n = 63);动员手术(n = 64)和稳定手术(n = 42),其中22例在晚期(1-3年)进行(n = 16)。结果表明,在有血运重建的动员手术后,术后早期放射性核素积累明显增加(增加1.52倍),未有血运重建的动员手术后,放射性核素积累增加不明显(增加1.34倍);在稳定手术合并血运重建术后,手术前后的过度固定相似,而在没有血运重建术的患者中,过度固定明显减少(70%的患者减少1.53%)。术后后期的特点是过度固定减少,在活动手术伴血运重建后更为明显。骨闪烁成像量化了修复过程的过程,并确定了不同操作的效率。
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[Osteal scintigraphy in the evaluation of the course of reparative processes after surgical treatment for tuberculous and nonspecific arthritis, by using constrained bone grafting].

Osteal scintigraphy was used to study the course of reparative processes after surgical treatment in 106 patients with large joint lesions, including 76 patients with tuberculous arthritis and their sequels and 30 with nonspecific and dystrophicones before and 2-3 weeks after operations (those with and without articular tissue revascularization (n = 43 and n = 63); mobilizing (n = 64) and stabilizing (n = 42) operations), of them 22 being performed in late periods (1-3 years (n = 16)). It was established that after mobilizing operations with revascularization, the early postoperative period was marked by a significant increase in radionuclide accumulation (by 1.52 times) and after those without revascularization, there was a less significant rise (by 1.34 times); following stabilizing operations with revascularization, hyperfixation was similar before and after surgery whereas following those without revascularization it significantly reduced (by 1.53% in 70% of patients). The late postoperative period was characterized by reduced hyperfixation, which was more evident after mobilizing operations with revascularization. Osteal scintigraphy quantifies the course of reparative processes and determines the efficiency of different operations.

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