| 张秀珍,鲁香月,李义昌,等.封闭加压窦道造影技术在窦道型慢性创面中的临床应用价值.骨科,2026,17(5): 459-462. |
| 封闭加压窦道造影技术在窦道型慢性创面中的临床应用价值 |
| Clinical application of closed pressurized sinus tract radiography in chronic wounds with sinus truct |
| 投稿时间：2026-05-20 |
| DOI：10.3969/j.issn.1674-8573.2026.05.009 |
| 中文关键词: 创面修复 窦道型慢性创面 计算机断层扫描 造影剂 封闭加压 |
| 英文关键词: Wound repair Chronic wound with sinus tract Computed tomography Contrast media Closed pressurization |
| 基金项目:江苏省苏州市科技计划项目（SYW2024059）；苏州市吴中区东吴卫生人才科研项目（DWWS2025012）；苏州市吴中人民医院院内项目（2022yjky16） |
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| 中文摘要: |
| 目的 探讨封闭加压窦道造影技术在窦道型慢性创面中的临床应用价值。方法 纳入2022年5月至2025年5月我院创面修复科收治的40例窦道型慢性难愈性创面患者，其中男21例，女19例，年龄（56.43±15.30）岁（23～93岁）。患者窦道先后行传统窦道造影技术（传统造影组）及封闭加压窦道造影技术（封闭加压造影组），利用Mimics 17.0 CT图像测量软件对两次检查图像进行三维重建，分别获得窦道长度及窦道体积。完善检查后窦道内注射亚甲兰并切开，测得窦道的实际长度。比较传统造影组及封闭加压造影组获得的窦道长度与实际长度的偏差率，以及窦道体积的差异。结果 传统造影组测得的窦道长度为27.20（15.00，33.88） mm，封闭加压造影组测得的窦道长度为36.45（25.98，47.98） mm，切开后测得的实际窦道长度为36.50（28.13，49.50） mm；传统造影组的长度偏差率为21.77%，显影体积为2.70（1.45，3.48） cm3，封闭加压造影组的长度偏差率为3.18%，显影体积为3.30（2.50，4.70） cm3，组间差异有统计学意义（P<0.05）。结论 封闭加压窦道造影技术在窦道型慢性创面的临床检查中能更清楚的显示创面的全程及内部结构，有利于窦道型慢性创面的早期临床诊断，且操作简单，值得临床推广及应用。 |
| 英文摘要: |
| Objective To explore the application value of closed pressurized sinus tract radiography in chronic wounds with sinus tract. Methods A total of 40 patients with sinus tract chronic refractory wounds, who were admitted to the Department of Wound Repair in our hospital between May 2022 and May 2025 were enrolled in this study. The cohort included 21 males and 19 females, with age of (56.43±15.30) years (23-93 years). All patients underwent both conventional sinus tract radiography (conventional group) and closed pressurized sinus tract radiography (closed pressurized group). The Mimics 17.0 CT image measurement software was used to perform three-dimensional reconstruction of the images obtained from both examinations, allowing for the measurement of sinus tract length and volume. Following the imaging studies, methylene blue was injected into the sinus tract, which was then surgically opened to measure the actual length of the tract. The deviation rate between the sinus tract lengths obtained from the conventional group and the closed pressurized group relative to the actual length, as well as the differences in sinus tract volume, were compared. Results The sinus tract length measured in the conventional group was 27.20 (15.00, 33.88) mm, compared to 36.45 (25.98, 47.98) mm in the closed pressurized group. The actual length measured after surgical incision was 36.50 (28.13, 49.50) mm. The length deviation rate was 21.77% in the conventional group and the opacified volume was 2.70 (1.45, 3.48) cm3. In the closed-pressure group, the length deviation rate was 3.18%, and the opacified volume was 3.30 (2.50, 4.70) cm3. These differences were statistically significant (P<0.05). Conclusion Closed pressurized sinus tract radiography provides superior visualization of the entire course and internal architecture of chronic wounds with sinus tract. This technique facilitates early clinical diagnosis, and due to its straightforward nature, is worthy of broader clinical adoption and application. |
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