[1]宋其韬,龙雷.SPECT/CT对全髋关节置换术后并发症的诊断价值[J].国际放射医学核医学杂志,2017,41(3):199-204.[doi:10.3760/cma.j.issn.1673-4114.2017.03.008]
　Song Qitao,Long Lei.Diagnostic value of complications after total hip replacement by SPECT/CT[J].International Journal of Radiation Medicine and Nuclear Medicine,2017,41(3):199-204.[doi:10.3760/cma.j.issn.1673-4114.2017.03.008]
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SPECT/CT对全髋关节置换术后并发症的诊断价值(/HTML)
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
41
期数:
2017年第3期
页码:
199-204
栏目:
综述
出版日期:
2017-05-25

文章信息/Info

Title:
Diagnostic value of complications after total hip replacement by SPECT/CT
作者:
宋其韬;  龙雷
300211 天津医院核医学科
Author(s):
Song Qitao;  Long Lei
Department of Nuclear Medicine, Tianjin Hospital, Tianjin 300211, China
关键词:
关节成形术; 置换; 髋; 手术后并发症; 体层摄影术; 发射型计算机; 单光子; 体层摄影术; X线计算机
Keywords:
Arthroplasty;  replacement;  hip; Postoperative complications; Tomography;  emission-computed;  single-photon; Tomography;  X-ray computed
DOI:
10.3760/cma.j.issn.1673-4114.2017.03.008
摘要:
关节置换手术后，假体松动及感染等并发症是患者术后不适的主要原因。在正确判断并发症方面，传统的影像手段各有利弊。SPECT/CT将功能成像与解剖成像同机融合，可以明确全髋关节置换术（THA）后金属假体与邻近骨质情况，判断术后并发症的出现，有助于手术方案的制定。笔者对CT三维影像测量在髋关节数据测量精确性方面的优势、方法和髋关节置换术后常见并发症，包括无菌性松动、假体周围感染、组织细胞反应、假体周围骨折、聚乙烯内衬磨损、异位骨化、假体周围假瘤形成等SPECT/CT影像特点做一综述。
Abstract:
With the improvement of economic level, the requirement to achieve quality of life is increased. An increasing number of individuals are undergoing joint replacement surgery due to femoral neck fracture, traumatic arthritis, and femoral head necrosis. Prosthesis loosening and complications, such as infection, causes post-operative discomfort among patients. Traditional imaging for evaluating the existence of complications has advantages and disadvantages. Thus, single-photon emission computed tomography (SPECT) is combined with spiral CT scanning. Fusing functional imaging and anatomical imaging significantly improves diagnostic accuracy. SPECT imaging has shown its advantage in terms of implant surrounding bone metabolic activity. This technique retains high image quality regardless of the presence of metal prosthesis. Moreover, spiral CT improves anatomical detail display in SPECT imaging. This review explores 3D CT imaging data on hip measurement accuracy, advantages, and methods, as well as SPECT and CT imaging features on the common complications after total hip arthroplasty. These complications include infection around the implant, aseptic loosening tissue reaction, prosthesis peripheral fracture, polyethylene liner wear, heterotopic ossification, and prosthesis pseudotumor formation.

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备注/Memo

备注/Memo:
收稿日期:2017-01-12。
通讯作者:宋其韬,Email:15922234084@163.com
更新日期/Last Update: 2017-06-28