影像检查在成人股骨头缺血坏死诊断中的应用  

IMAGE EXAMINATIONS IN THE DIAGNOSIS OF ISCHEMIC NECROSIS OF ADULT FEMORAL HEAD: A Clinical Analysis of 90 Cases

作　　者：李金松[1] 邵光湘[1] 王强[1] 

机构地区：[1]山东中医药大学附属医院 [2]山东省齐河县中医院

出　　处：《中医正骨》1998年第2期14-14,16,共2页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：对已确诊的９０例成人股骨头缺血性坏死病人所接受的影像学检查方法和结果进行了回顾性分析。共１３７个缺血坏死髋，早期病变（Ｘ线０期与Ⅰ期）１１个髋中，有８个需依靠ＣＴ、ＭＲＩ、ＥＣＴ或ＳＰＥＣＴ检查而确诊，说明这些方法对早期诊断很有帮助。余１２６个中晚期坏死髋（Ｘ线Ⅱ～Ⅳ期）本应可以通过单纯Ｘ线平片而确诊，但仅有６１．１％的病例是单纯依靠Ｘ线平片确诊的，说明首诊准确率不高。认为Ｘ线拍片与ＣＴ结合具有很好的互补性，能充分发现股骨头软骨下骨的早期变形或塌陷，建议合理选用上述影像检查方法，提高首诊确诊率。mage examinations received by 90 cases (137 hips) diagnosed as adult ischemic necrosis of femoral head were retrospectively studied. Of 11 cases of early lesion (Xray type 0 and type Ⅰ), 8 were diagnosed by CT, MR, ECT, and SPECT examinations, suggesting that these methods are helpful for the early diagnosis. The rest 126 hips (Xray type Ⅱ-type Ⅳ) should may be diagnosed only by Xray plain films, but only 61 % of them was diagnosed alone by this method, showing a low accurate rate of the first diagnosis. The authors believed that the combination of Xray and CT examinations could have a good complementarity and definitely reveal the early deformity and collapse of the femoralhead subchondral bone. It was suggested that the above image examinations should be rationally selected for improving the accuracy of the first diagnosis.

关 键 词：股骨头坏死 缺血性坏死 放射照相术 诊断 

分 类 号：R681.8[医药卫生—骨科学]