应力性骨折与血清碱性磷酸酶关系及其诊断分析

The analysis of diagnosis of stress fracture and change of serum alkaline phosphatase

目的 :分析和研究应力性骨折的 X线和组织学特点及血清碱性磷酸酶 (血清 A LP)变化对诊断的意义。方法 :回顾已诊断为应力性骨折患者的 X线片及病理切片 ;通过对强化训练新兵的随机抽样 3 2 0例 ,每周 1次检测血清 AL P,共 4次 ;回顾门诊及住院应力性骨折患者血清 AL P不同时期的变化。结果 :应力性骨折患者的 X线片及病理切片表现类似于正常的骨折愈合过程 ;血清 AL P的变化有明确的正常 ( 10 6U/ L) ,升高 ( 2 71.5 U/ L)、升高 ( 3 2 1.5 U/ L)、下降 ( 2 40 U/ L)的曲线变化。结论 :三者结合 ,特别是血清 AL P的动态观察 ,对应力性骨折的诊断有重要意义。

Objective: It is to study the characteristics of X-ray, pathological section and the change of serum alkaline phosphatase (SALP) of patients with stress fracture. Methods: The authors reviewed the patients diagnosized stress fracture and analysed their character. Then the authors selected 320 recruits randomly from those having forced training, measured SALP weekly for four times and obtained the average results. The authors analysed the change of SALP in the inpatients and outpatients with stress fracture during different stage. Results: The show of the X-ray plates pathological sections of patients with stress fracture were similler with that received from the course of regular fracture healing. But the change of SALP is very different from others. Conclusion: All of three, specially observing the reaction of SALP are very meaningful for the diagnosis of stress fracture.