成人髋臼结构不良的X线诊断  

Roentgen Diagnosis of Acetabular Dysplasia in Adults

作　　者：张德昌 王志纯 马贵 褚瑞华 

机构地区：[1]海军南京414医院放射科

出　　处：《实用放射学杂志》1995年第8期476-480,共5页Journal of Practical Radiology

摘　　要：本文分析１３２例成人髋臼结构不良。主要症状为髋关节疼痛、跛行和肢体功能障碍．基本Ｘ线征象为髋臼浅和／或斜度大，臼顶外侧唇骨质发育不良，臼盖嘴消失，主要的并发症是股骨头半脱位或脱位、骨性关节病和股骨头坏死。认为关节受力方向的改变和应力过度集中是造成上述并发症的主要原因。提出评价成人髋臼发育优劣宜采用Ｓｈａｒｐ角、髋顶切线角和髋臼指数三项指标值为依据，其中有二项不在正常范围内可诊断本病。文中对Ｘ线分型及其临床意义等进行了探讨。adult patients with acetabular dysplasia were reported.The clinical features were limp,hip pain and functional insufficiency.The fundamental roentgen signs include shallow acetabulum,increasedobliquity and osseous maldevelope in the upper out of the acetabular root,and absence of acetabular beak.Themain complications of the disease are luxation or subluxation of femoral head,osteoarthrosis of the hip jointand necrosis of femoral head.It is considered that the direction change of force upon joint and over concentra-tion of stress are main cause resulting in the complications, and the evaluation of acetabular development inabult best use Sharp's angls,tangential angle of acetabular root and acetabular index,if two of which are ab-normal acetabular dysplasia shoued be diagnosed. The types of acetabular dysplasia in adults were also dis-cussed.

关 键 词：髋臼结构不良 测量 X线 诊断 髋关节 关节病 

分 类 号：R684.04[医药卫生—骨科学]