首页|多模态影像学方法评估布依药鹿角壮骨煎液的骨折疗效

多模态影像学方法评估布依药鹿角壮骨煎液的骨折疗效

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目的 运用多模态影像学方法评估布依药鹿角壮骨煎液的骨折疗效.方法 通过手术方式制作新西兰白兔左下肢胫骨中下段骨折模型30只,随机分成实验组15只给予布依药鹿角壮骨煎液灌胃治疗,对照组15只给予等量0.9%生理盐水灌胃治疗.在造模后当天、第7d、15d、21d、30d、42d随机选择2只模型兔分别行常规DR摄片、常规CT及双能量CT扫描,并对CT扫描数据行冠矢状位及骨髓成像后处理,对比不同影像学方法对实验组及对照组骨折端的对显示情况.结果 与对照组比较,实验组在X平片、CT平扫、双能量骨髓成像评估中均有统计学差异(P>0.05),且CT平扫结合双能量骨髓成像对骨折愈合评估更加敏感、准确;对于骨折治愈周期比较,实验组较对照组愈合周期明显缩短,7天时间点骨折的修复评分较对照组提高97.3%.结论 布依药鹿角壮骨煎液可促进骨痂生长,缩短骨折病程,且CT平扫结合双能骨髓成像对骨折愈合的评估更加敏感、准确.
Multimodal Imaging Method for Evaluating the Therapeutic Effect of Buyi Medicine Deer Antler and Bone Strengthening Decoction on Fractures
Objective Using multimodal imaging methods to evaluate the therapeutic effect of Buyi medicine deer antler bone strengthening decoction on fractures.Methods 30 New Zealand white rabbits with left lower limb tibia fracture models were made through surgery.They were randomly divided into an experimental group of 15 rabbits and treated with Buyi medicine deer antler and strong bone decoction by gavage,while the control group of 15 rabbits was treated with an equal amount of 0.9%physiological saline by gavage.On the day of modeling,7d,15d,21d,30d,and 42d after modeling,two model rabbits were randomly selected to undergo conventional DR imaging,conventional CT,and dual energy CT scans,respectively.The CT scan data were subjected to post-processing of coronal sagittal and bone marrow imaging,and the display of fracture ends in the experimental group and control group using different imaging methods was compared.Results Compared with the control group,the experimental group showed statistical differences in X-ray,CT plain scan,and dual energy bone marrow imaging evaluations(P>0.05),and the combination of CT plain scan and dual energy bone marrow imaging was more sensitive and accurate in evaluating fracture healing;For the comparison of fracture healing cycles,the experimental group had a significantly shorter healing cycle compared to the control group,and the repair score of the fracture at the 7-day time point increased by 97.3%compared to the control group.Conclusion Buyi medicine deer antler bone strengthening decoction can promote callus growth,shorten the course of fracture,and CT plain scan combined with dual energy bone marrow imaging is more sensitive and accurate in evaluating fracture healing.

Dual Source CTFractureBuyi Medicine Deer Antler Bone Strengthening DecoctionImage Multimodality

王玉权、金源卿、周瑞、吴瑜、吴曙光、曾宪春

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贵州省人民医院医学影像科(贵州贵阳 550002)

贵州中医药大学动物研究所(贵州贵阳 550025)

双源CT 骨折 布依药鹿角壮骨煎液 影像多模态

贵州省中医药管理局中医药、民族医药科学技术研究专项课题

QZYY-2020-018

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(10)