髋关节暂时性骨质疏松的MRI诊断及临床综合治疗观察  

MRI Diagnosis and Clinical Comorehensive Treatment for Transient Osteoporosis of the Hip Joint

作　　者：郭炳伦[1] 李桂英[1] 肖海鹰[1] 孙化[1] 李玉舟[1] 

机构地区：[1]河南省商丘市第一人民医院MR室,河南商丘476100

出　　处：《实用放射学杂志》2007年第2期215-217,共3页Journal of Practical Radiology

摘　　要：目的探讨髋关节暂时性骨质疏松的MRI表现及临床综合治疗。方法搜集经MRI检查、临床治疗证实的6例髋关节暂时性骨质疏松患者进行回顾性分析,男4例,女2例,平均年龄22岁,女性患病时未在妊娠期。全部患者患病髋关节均表现为不同程度的突发急性疼痛或渐进性疼痛。临床采用静注复方丹参和/或口服复方丹参等活血化淤,改善微循环的治疗方法。结果患侧髋关节MRI表现为片状等低T1、长T2异常信号,脂肪抑制序列呈高信号,增强扫描病灶无强化;临床治疗3个月后疼痛明显减轻,6个月疼痛完全缓解,复查MRI病变完全消失。结论MRI对诊断髋关节暂时性骨质疏松有一定价值。Objective To explore MRI features and clinical comorehensive treatment for transient osteoporosis of the hip joint. Methods 6 cases with transient osteoporosis of the hip joint undergone MRI examination and proved by clinical treatment were retrospectively analysed. Four were male and two were female,mean age was twenty - two years. Neither of the woman was pregnant when they were ill. The clinical symptoms expressed suddenly or gradually pain in different degree. All patients were treated with improving micr circulation using oral and/or intravenous Compound Danshen. Results On M RI, the hips involved appeared as iso- low signal intensity on T1 WI and high signal intensity on T2 WI and FSEIR, and no enhancement after administration of contrast medium. The pain of hips was obviously eased after three months and complate alleviated after six months. Conclusion MRI is of certain value in diagnosing the transient osteoporosis of the hip joint.

关 键 词：髋关节 骨质疏松 暂时性 磁共振成像 

分 类 号：R684[医药卫生—骨科学] R445.2[医药卫生—外科学]