股骨头坏死早期CT表现及临床价值  

CT findings of early avascular necrosis of the femoral head and its clinical values

作　　者：赵国权[1] 李永利[1] 罗长青[1] 

机构地区：[1]河北金能邢矿集团总医院,河北邢台054000

出　　处：《西部医学》2008年第3期621-622,共2页Medical Journal of West China

摘　　要：目的研究股骨头缺血坏死(ANFH)早期CT表现及临床价值。方法126例双侧股骨头行CT扫描,并对其CT表现进行分期。结果CT发现早期ANFH 126例共198个部位。其中Ⅰ期81个,表现为星芒结构变形、骨质疏松和骨硬化;Ⅱ期65个,表现为骨硬化及囊状透亮区;Ⅲ期52个,以"新月征"为特征。结论CT特别是高分辨力CT能清楚显示早期股骨头坏死范围并准确地进行分期,为临床医师制定治疗方案提供可靠的依据。Objective To investigate the CT findings of early avascular necrosis of the femoral head（ANFH） and the value in diagnosis and treatment. Methods 126 patients （198 femoral heads） were examined with CT. Results 81 femoral head necrosis belonged to stage Ⅰ and CT showed stelliform structural changes, osteoporosis and osteosclerosis. 65 femoral head necrosis were defined as stage Ⅱ and CT showed osteosclerosis and cystic hyalomere. Stage Ⅲ was classified in 52 femoral heads and CT showed ＂crescent＂ signs. Conclusion CT can definitely display the range and stage of early ANFE, It will provide reliable information for clinical doctors to formulate therapeutic regimens.

关 键 词：股骨头 早期 缺血坏死 计算机断层扫描 

分 类 号：R681.8[医药卫生—骨科学] R445.3[医药卫生—外科学]