高选择血管造影拟定股骨颈骨折分型标准的初步探讨  

A preliminary study on classification of femoral neck fracture by superselective digital subtraction angiograph

作　　者：刘洋 游浩 李明辉 陈方舟 袁希 蔡林[3] 

机构地区：[1]武汉市第五医院骨科,武汉430050 [2]武汉市第五医院放射科,武汉430050 [3]武汉大学中南医院骨科,武汉430071

出　　处：《中国骨与关节外科》2010年第2期133-137,共5页Chinese Journal of Bone and Joint Surgery

基　　金：湖北省武汉市卫生局科研基金资助(WX08D24)

摘　　要：目的采用高选择血管造影拟定股骨颈骨折分型标准。方法2004年3月至2008年6月,采用高选择血管造影(digital subtraction angiography,DSA)技术对70例不同年龄组单侧股骨颈骨折患者进行数字减影,男32例,女38例;年龄26～44岁15例,45～55岁11例,56～70岁44例,平均年龄62岁;左侧40例,右侧30例;摔伤34例,高处坠落及交通伤36例。读取DSA显示越过股骨颈骨折线支持带动脉的数目,根据DSA结果拟定骨折分型标准。结果 DSAⅠ型:造影显示越过骨折线3～6支支持带血管影。DSAⅡ型:造影显示越过骨折线1～2支支持带血管影。DSAⅢ型:造影显示无支持带血管影越过骨折线。结论 DSA对股骨颈骨折分型、治疗及预后的判断有一定的指导作用。Objective To classify the femoral neck fracture by the high selection angiography（DSA）.Methods From March 2004 to June 2008,70 different year-group patients with single femoral neck fracture（32 males and 38 females; the age of 26 to 44 years old in 15 cases,45 to 55 years in 11,56 to 70 years in 44,average age of 62 years;in- jury on the left in 40 cases,on the right in 30;a fall of 34 cases,falls from high place and traffic injuries of 36 cases） accepted DSA.The number of valid retinaculum arteries cross fracture line was recorded and the classification was set down by the DSA result.Results TypeⅠ：DSA showed 3 to 6 retinaculum vascular images cross fracture line.TypeⅡ：DSA showed 1 to 2.TypeⅢ：No vascular images were showed in DSA.Conclusion DSA has certain guidance to the classification of femoral neck fracture,treatment and prognosis.

关 键 词：高选择血管造影 股骨颈骨折 分型标准 

分 类 号：R687.3[医药卫生—骨科学]