股骨头骨缺血性坏死的影像学诊断和介入治疗(附8例疗效分析)  

Imaging Diagnosis and Interventional Treatment or the Avascular Necrosis of Femoral Head

作　　者：郭大炜[1] 乔德林[1] 章宏靖[1] 

机构地区：[1]上海市浦东新区公利医院放射科,200135

出　　处：《影像诊断与介入放射学》1997年第3期168-170,共3页Diagnostic Imaging & Interventional Radiology

摘　　要：目的:阐述影像学对股骨头骨缺血性坏死早期诊断的意义和介入治疗的临床价值。材料和方法:8例经X线平片、CT和血管造影诊断;以扩血管、抗凝、溶栓等为原列行靶血管介入治疗。结果:全组临床症状即刻消失者6例,占75％,显效者2例,占25％。随访一年无一复发。结论:CT扫描不仅可发现骨缺血性坏死的早期改变,且可作疗效追随的检查方法。介入治疗不失为一种安全、快速、有效的手段。Purpose:To assess the effectiveness of image diagnosis in the early stage of avascular necrosis of the femoral head and the clinical value of the interventional treatment. Materials and Methods: 8 cases with avascular necrosis of the femoral head were examined by x-ray, CT and angiography, and the interventional treatment were perfomed with vasodilator, anticoagulant and thrombolytic agent. Result; The clinical symptoms were completely disappeared in 6 cases (75 % ) and significantly improved in 2 cases (25 % ) after treatment. There is no clinical symptom recurreuce in the follow-up for one year. Conclusion: CT examination appears to be effective both in the early diagnosis and the follow-up examination for avascular necrosis of the femoral head. The interventional treatment is a safe method and very helpful for improving the clinical symptoms.

关 键 词：股骨头坏死 影学诊断 介入疗法 

分 类 号：R681.8[医药卫生—骨科学]