选择性旋股内动脉造影对股骨颈骨折后股骨头血供的观察  

selective digital subtraction angiography in observation of the blood supply in acute femoral neck fracture

作　　者：蔡小强[1] 范觉昕[2] 沈利明[3] 王东来[1] 王宏[2] 丰川[2] 

机构地区：[1]苏州市立医院本部骨科,215002 [2]苏州市立医院本部影像科,215002 [3]苏州市立医院本部介入科,215002

出　　处：《内蒙古中医药》2010年第12期101-102,共2页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:探讨运用选择性血管造影技术观察股骨颈骨折早期股骨头血供及在预后评估中的价值。方法:采用选择性旋股动脉及支持带动脉造影(DSA),对26例5天内单侧股骨颈骨折患者股骨头、颈血供变化观察,并评价其与预后的关系。结果:外侧支持带动脉完整显影17例,内侧支持带动脉完整显影13例,其中9例内、外支持带动脉同时显影,4例无内、外支持带动脉显影或显影中断。3例早期出现股骨头坏死。内外支持带动脉显影与股骨颈骨折的Garden分型呈负相关;与早期股骨头坏死呈正相关。结论:选择性血管造影技术可以评价股骨颈骨折早期股骨头的血供,早期评估预后,指导治疗方案的选择。Objective To observe the blood supply of femoral head and evaluate prognosis in acute femoral neck fracture by digital subtraction angiography （DSA） . Methods 26 patients with single femoral neck fracture underwent DSA of femoral circumflex artery in 5 days after fracture to observe the blood circulation of femoral head. All patients were follow-up from 18 to 36 months . Results Lateral circumflex artery were displayed clearly in 17cases , medial circumflex artery in 13 cases; both lateral and medi~ circumflex artery were displayed only in 9 cases. 3 patients had osteonecrosis of the femoral head in the early period of follow-up. Conclusion DSA in medial circumtlex artery was an ideal method to find out the blood supply of femoral head in early femoral neck fracture case. It can be used to evaluate prognosis .

关 键 词：股骨颈骨折 血管造影技术 数字减影 股骨头坏死 

分 类 号：R445.4[医药卫生—影像医学与核医学]