股骨头缺血性坏死的影像学诊断与临床分析  

Imaging Diagnosis and Clinical Analysis of Avascular Necrosis of Femoral Head(ANFH)

作　　者：刘璋 胡丽彩 张亚琴[1] 

机构地区：[1]兰州军区总医院

出　　处：《实用放射学杂志》1998年第1期38-40,共3页Journal of Practical Radiology

摘　　要：目的：评价Ｘ线与ＭＲＩ对股骨头缺血性坏死（ＡＮＦＨ）的诊断价值。方法：对５０例怀疑为ＡＮＦＨ患者进行Ｘ线检查，其中１０例进行了ＭＲＩ检查，且作了Ｘ线与ＭＲＩ征象的对照观察，并与同期临床症状比较。结果：５０例经Ｘ线检查诊断为ＡＮＦＨ者共４５例６７髋，其中１０例（包括５例Ｘ线平片阴性者）进行了ＭＲＩ检查均证实为ＡＮＦＨ共１０例１４髋。统计结果表明：ＡＮＦＨ的Ｘ线与ＭＲＩ表现与其临床功能无显著相关性（Ｐ＞０．０５）。结论：Ｘ线平片难以显示ＡＮＦＨ的早期表现，ＭＲＩ不仅能发现其早期病变，且能反映病变的确切范围和程度，对早期治疗及预后都有积极意义。Objective:To evaluate the diagnostic value of X-ray plain film and MRI in AMFH.Methods:50 cases were clinical suspected of ANFH,All of them were underwent rounting radiography,In which,10 cases complemented with MRI,The appearence presented by the 2 methods were compared,A comparetive analysis between the imaging features and the clinical data was done in detall.Results:Among 50 cases,45 cases(67 hips)were postive on X-ray examination and 10 cases(14 hips) were postive on MRI.The statistic results showed that there was no remarkalble interretation between the features of X-ray,MRI of ANFH and the clinical founction of joint(P>0.05).Conclusion:It is difficut for X-ray plainfilm to find out early fous of ANFH,MRI is able to provide useful information in cofirming the early stage of ANFH,and is also significance in determining the exact extent, degree of the lesions,and early treatment as wall as prediction of prongnosis.

关 键 词：缺血性 股骨头坏死 诊断 ANFH X线诊断 NMR 

分 类 号：R683.42[医药卫生—骨科学] R816.8[医药卫生—外科学]