腕月骨脱位及月骨周围脱位的X线表现及漏误诊分析  

Lunate and Perilunate Dislocation:X-ray Features and Analysis of Missing Diagnosis

作　　者：刘文银[1] 王明友[1] 胡效坤[1] 关中礼[1] 

机构地区：[1]山东大学齐鲁医院平邑合作医院,山东临沂273300

出　　处：《实用放射学杂志》2004年第9期822-824,共3页Journal of Practical Radiology

摘　　要：目的　分析月骨脱位及月骨周围脱位的X线表现及漏误诊原因 ,提高对本病的诊断水平。方法　 16例腕月骨脱位及月骨周围脱位病例 ,男 14例 ,女 2例 ,年龄 2 2～ 5 6岁 ,对其X线表现及漏误诊原因进行分析。结果　本组 16例中 ,月骨前脱位 3例 ,经舟骨月骨前脱位 2例 ,月骨周围后脱位 6例 ,经舟骨月骨周围后脱位 3例 ,不典型月骨周围后脱位 2例 ,漏误诊 6例 ,占 3 7.5 % ( 6/16)。结论　熟悉腕关节的正常X线表现 ,掌握各型脱位及骨折脱位的X线特点 。Objective To improve the diagnosing level of lunate and perilunate dislocation through analysing X-ray finding and causes of missing diagnosis.Methods 16 cases of lunate and perilunate dislocation missed diagnosis were analysed.Results In 16 cases,there were 3 cases of ventral lunate dislocation,2 cases of trans-scaphoid ventral lunate dislocation,6 cases of dorsal perilunate lunate dislocation,3 cases of trans-scaphoid dorsal perilunate lunate dislocation and 2 cases of atypical dorsal perilunate lunate dislocation.6 cases were missed in diagnosis(37.5%).Conclusion Knowing well the normal X-ray sign of wrist,mastering the X-ray characteristic of each types of dislocation and fracture,is the linchpin of reducing missing diagnosis.

关 键 词：腕月骨脱位 月骨周围脱位 X线表现 漏诊 误诊 原因 

分 类 号：R684.7[医药卫生—骨科学] R816.8[医药卫生—外科学]