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正常踝关节软骨厚度的低场MRI测量研究

作者:金 梅1 叶 龙2 李小海2 李晓兰2

所属单位:1.重庆医科大学附属永川医院影像 科 (重庆 永川 402160) 2.重庆医科大学附属大学城医院影 像科 (重庆 401331)

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摘要

目的探讨低场MRI测量踝关节软 骨厚度的可行性及软骨厚度与年龄、性 别、体重、身高的相关性。方法 选取左 踝关节无外伤、无任何临床症状的健康 自愿者160例,依据年龄分为8个组,每 组20例,用SE-T1WI和WFT1WI序列行冠状 位、矢状位扫描,每个踝关节选取5个测 量点,测量厚度为关节软骨面至软骨下低 信号。结果 踝关节软骨厚度分布呈现非 均匀性,外踝侧软骨平均厚度为1.82mm, 顶前软骨1.84mm,顶中软骨1.82mm, 顶后软骨1.81mm,顶前平均厚度大于顶 后。男性软骨平均厚度大于女性,分别为 (1.81±0.30)mm与(1.79±0.25)mm。15 岁以前,身高<140cm,体重<45kg,踝 关节软骨厚度与年龄、体重、身高呈负 相关;15岁以后,身高>140cm,体重> 45kg,软骨厚度与年龄、体重、身高无明 显相关性。结论 正常踝关节距骨软骨厚 度分布呈非均匀性,男性软骨厚度大于女 性,15岁以前踝关节软骨厚度与身高、体 重、年龄呈负相关;15岁以后软骨厚度与 三者无直线相关性。

Objective To investigate the feasibility of using lowfield magnetic resonance to measure the thickness of ankle joint cartilage, the relationship between the thickness of the cartilage and age, gender, weight and height were analyzed at the same time. Methods 160 healthy volunteers with normal left ankles were chosen and divided into 8 groups, and each group contains 20 volunteers according to their age. All normal ankles were scanned through sagittal and coronal plane with SE-T1WI and WF-T1WI sequences. We chose 5 measurement from the surface of the cartilage to the subchondral. Results The distribution of the thickness of cartilage is nonuniformity. The average thickness of cartilage measured from the lateral malleolus is 1.82mm, and from the front, middle and rear were as follows: 1.84mm 1.82mm 1.81mm, and the front in average is more than the rear. The average thickness in male is more in female, (1.81±0.30)mm and (1.79±0.25)mm respectively. The thickness of ankle joint was negatively related to age, weight and height before 15 years old if the height is less than 140cm and the weight is less than 45kg. However, there was no obvious relationship between them after 15 years old if the height is more than 140cm and the height is more than 45kg. Conclusion The distribution of the thickness of talar cartilage from normal ankle joint is nonuniformity. The thickness in male is more than in female, and it is negatively related to age, weight and height before 15 years old and there is no linear correlation after 15.

【关键词】踝关节;距骨软骨;软骨厚度;低场磁共振成像

【中图分类号】R445.2;R68

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2016.03.036

前言

踝关节是小腿和足部活动的枢纽,关节软骨薄,关节周围解剖结 构复杂,踝关节容易受到损伤。以往的研究多是对膝关节软骨厚度的 测量,因为膝关节活动度大,解剖结构相对简单,软骨本身较厚。而 对踝关节软骨厚度测量的报道较少,本文旨在通过低场MRI测量和观察 健康志愿者踝关节距骨软骨的厚度和分布,测得各个年龄段踝关节软 骨厚度的正常值,初步探讨低场MRI测量软骨厚度的可行性及正常人踝 关节距骨软骨厚度与年龄、性别、体重、身高的关系,为关节病变的 早期诊断和动态观察提供影像解剖学基础。