成人髋臼发育不良的CT测量评价  

CT evaluation of acetabular dysplasia in adults

作　　者：刘旭林[1] 周承涛[1] 杜玉清 李文乐[1] 张光辉[1] 王树钢 李淑玲[1] 

机构地区：[1]山东省烟台市烟台山医院放射科,264001

出　　处：《中华放射学杂志》2000年第1期52-54,共3页Chinese Journal of Radiology

摘　　要：目的　评价成人髋臼发育不良(acetabulardysplasia,AD)的CT测量诊断方法及临床意义。方法　对33例成人AD及210例正常成人髋关节CT图像进行对照测量研究。结果　AD组与正常成人组股骨头内间隙分别为(1003±232)mm和(706±127)mm,前后唇长度之和分别为(375±072)cm和(510±051)cm,前后唇长度之和与股骨头直径比值分别为090±014和112±010,顶唇长度分别为(331±046)cm和(454±038)cm,顶唇长度与股骨头直径比值分别为085±011和101±006,前唇头距分别为(632±183)mm和(410±133)mm,后唇头距分别为(502±145)mm和(360±080)mm,臼头距分别为(978±305)mm和(534±234)mm,股骨头覆盖率为(3364±856)%[男(5003±695)%、女(5360±702)%],Sharp角分别为(4688±611)°和(3575±360)°,两组间指标的差异具有显著性意义(P<001)。并提出了各项指标的正常值。认为“光头征”及托球征”为成人AD的直接CT征象。结论　CT测量诊断成人AD优于X线平片,能直接测量髋臼各唇的长度,了解髋臼各部分的发育状况,可作为一种常规检查方法。Objective ToevaluatemethodsofmeasurementbyCTandtheirclinicalsignificancefor acetabulardysplasia(AD)inadults Methods CTimagingwasexaminedandmeasuredin 33adultpatientswith AD ,comparedwiththenormalcontrolgroupof2 1 0adults Results ThisstudyshowedtheresultsofADpatients vsnormaladultsasfollows:femoralheadinner distance ,(1 0 0 3± 2 32 )mmvs (7 0 2± 1 2 7)mm ;general lengthofanteriorandposterioracetabularlips ,(3 75± 0 72 )cmvs (5 1 0± 0 51 )cm ;rateofgenerallengthof anteriorandposterioracetabularlipstofemoralheaddiameter,0 90± 0 1 4vs 1 1 2± 0 1 0 ;lengthofacetabular apexlips (3 31± 0 46 )cmvs (4 54± 0 38)cm ;rateoflengthofacetabularapexlipstofemoralheaddiameter, 0 85± 0 1 1vs 1 0 1± 0 0 6 ;distancebetweenanterioracetabularlipandfemoralhead ,(6 32± 1 83)mmvs (4 1 0± 1 33)mm ;distancebetweenposterioracetabularlipandfemoralhead (5 0 2± 1 45)mmvs (3 6 0± 0 80 )mm ;distancebetweenacetabulumandfemoralhead (9 78± 3 0 5)mmvs (5 34± 2 34)mm ;femoral headvolumecoverrate ,(33 6 4± 8 56 ) %vs (50 0 3± 6 95) % (male)and (53 6 0± 7 0 2 ) % (female) ; Sharp’sangle (4 6 88± 6 1 1 )°vs (35 75± 3 6 0 )° Therewerestatisticallysignificanceinalloftheparameters betweentwogroupswithorwithoutAD(P <0 0 1 ) Thenormalcriteriaofvariousindexeswassuggested Bared headsignandlifted ballsignweredirectsignsofCTfindingsofADinadults Conclusions CTissuperiortoX rayfordiagnosisofADinadults,whichdirectlymeasuresthelengthofacetabularlips ,anddemonstratesthe developmentstatusofacetablum Therefore,itissuggestedthatCTcanbeusedasaroutineexaminationforADin adults

关 键 词：先天性髋脱位 髋白发育不良 CT测量 诊断 

分 类 号：R814.42[医药卫生—影像医学与核医学]