[1]梁京印,刘易强,潘志峰.早期股骨头无菌坏死80例的影像学对比研究[J].国际放射医学核医学杂志,2006,30(5):315-317.
　LIANG Jing-yin,LIU Yi-qian,PAN Zhi-feng.Imaging diagnosis of the early aseptic osteonecrosis of the femoral head[J].International Journal of Radiation Medicine and Nuclear Medicine,2006,30(5):315-317.
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
30
期数:
2006年第5期
页码:
315-317
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
Imaging diagnosis of the early aseptic osteonecrosis of the femoral head
作者:
梁京印1;  刘易强1;  潘志峰2
1. 272100 山东, 山东省兖州市铁路医院影像科;
2. 272000 济宁, 济宁医学院科研处
Author(s):
LIANG Jing-yin1;  LIU Yi-qian1;  PAN Zhi-feng2
1. Department of Radiology, Yanzhou Railway Hospital, Yanzhou 272100, China;
2. Department of Scientific Research, Jining Medical College, Jining 272000, China
关键词:
股骨头坏死; 体层摄影术; X线; 体层摄影术; 发射型计算机; 对比研究
Keywords:
Femur head necrosis; Tomography;  X-ray; Tomography;  emissioncomputed; Comparative study
分类号:
R814.4
摘要:
目的 探讨成人股骨头无菌坏死的早期X射线、CT表现并进行对比研究。方法 收集具有典型X射线平片、CT表现并经病理或随访证实的80例成人股骨头无菌坏死患者的X射线平片和CT片,分组对比分析其征象及变化。结果 CT表现:股骨头完整组40例,62个关节,出现高密度硬化股骨头49个,在高密度周围出现囊性变伴低密度区者26个,12个股骨头内出现气体密度影;股骨头塌陷组40例,71个关节,其中8个股骨头显示单纯高密度硬化,63个在硬化区周围还伴有低密度区,有22个股骨头内出现气体密度影。结论 股骨头内出现单纯高密度硬化、气体密度影及囊性变为本病的早期影像征象,其特殊的CT表现比X射线平片具有更重要的临床诊断价值。
Abstract:
Objective To study the early imaging signs of aseptic osteonecrosis of the femoral head in adults. Methods The X-ray plain films and CT scans of 80 cases with this condition were analyzed. Results There were 40 hip joints with the femoral head normal in shape, including 49 femoral heads with only high-density sclerosis and 26 ones with high-density and low-density areas. Air-filled cysts appeared in 12 femoral heads. In the other 40 hip joints, the femoral heads were depressed and manifested purely highdensity sclerosis in 8 and mixed-density areas in 63. Air-filled cysts appeared in 22 femoral heads. Conclusions Purely high-density sclerosis and air density in the femoral heads are the early signs of aseptic ostenecrosis of the femoral head. The special CT signs are of great diagnostic value and can provide more information for the surgeons.

参考文献/References:

1 李景学,孙鼎元.骨关节X射线诊断学.北京:人民卫生出版社,1992.201-203.
2 赵炬才,张铁良.髋关节外科学.北京:中国医药科技出版社,1992.47-122.
3 曹来宾,刘吉华,徐德永,等.成人股骨头缺血坏死的X线诊断(附310例X线分析).中华放射学杂志,1991,25(6):342-344.
4 刘吉华,杜玉清,徐爱德,等.成人股骨头缺血坏死的CT研究.中华放射学杂志,2000,34(4):265-267.
5 Sissons HA,Nuovo MA,steiner GC,et al.Pathology of osteonecrosis of the femoral head:a review of experience at the hospital for joint disease.Skeletal Radiol,1992,21(4):229-238.
6 李果珍.临床CT诊断学.北京:中国科学技术出版社,1997.628-629.

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备注/Memo

备注/Memo:
收稿日期:2005-12-09。
通讯作者:梁京印,E-mail:1jy2096@163.com
更新日期/Last Update: 1900-01-01