小儿髋关节暂时性滑膜炎的彩色多普勒超声表现  

Manifestations of color Doppler ultrasonography of transient synovitis of the hip in children

作　　者：张雪华[1] 陈文娟[1] 何静波[1] 张号绒[1] 李佩岚[1] 陈洁[1] 

机构地区：[1]湖南省儿童医院特检科,湖南长沙410000

出　　处：《医学影像学杂志》2011年第11期1730-1733,共4页Journal of Medical Imaging

摘　　要：目的:探讨彩色多普勒超声在小儿髋关节暂时性滑膜炎的临床价值。方法:选取髋关节暂时性滑膜炎患儿38例,应用彩色多普勒超声对患儿治疗前后髋关节滑膜内细小血管的血供情况和频谱多普勒进行血流检测评价。结果:患儿治疗前,肿胀组与积液组滑膜增厚型的病例患侧髋关节滑膜内血流信号较健侧明显丰富;肿胀组血流速度升高,积液组血流速度减低。治疗后1周,肿胀组及积液组患髋滑膜内的血流信号较治疗前有所下降;肿胀组血流速度减低,积液组血流速度升高。治疗后2周,两组患髋滑膜内血流信号基本同健侧。结论:多普勒超声能监测小儿髋关节暂时性滑膜炎髋关节滑膜内的血供改变,对疾病的诊断和疗效观察有重要的应用价值。Objective：To investigate the value of colour Doppler ultrasonography in diagnosis and subsequent follow-up of the transient synovitis of the hip in children.Methods：Color Doppler ultrasonography was performed on 38 children with synovitis of the single hip.The characteristics of the blood signal changes in the synovial membrane of the hip joint were observed with CDFI before treatment,1 and 2 w after treatment,while,the normal hip joints were examined as the controls.Results：Obviously increased blood signal of the all injured side was detected with injury before treatment.Flow velocity was increased in swelling group,but gradually decreased 1 w after treatment.Flow velocity was in fluid group,but gradually increased 1 w after treatment.After 2 w,blood signal be came similar to the healthy side.Conclusion：CDFI has an important role in monitoring changes of blood supply,and affords clinical application value in the therapeutic effect observation in transient synovitis of the hip in children.

关 键 词：滑膜炎 髋关节 超声 多普勒 

分 类 号：R686.7[医药卫生—骨科学] R445.1[医药卫生—外科学]