儿童肘关节损伤DR摄片脂肪垫征阳性及MRI检查影像诊断的分析  

Analysis of Children's Elbow Injury DR Radiography Fat Pad Sign for the Positive and MRI Imaging Diagnostic

作　　者：王玉清[1] 穆景辉[2] 刘忠岐[1] 韩本谊 

机构地区：[1]吉林大学第四医院放射科,吉林长春130000 [2]吉林省人民医院心内疗区,吉林长春130000 [3]上海市东医院医学影像科,上海200000

出　　处：《中国医药指南》2013年第36期306-307,共2页Guide of China Medicine

摘　　要：目的本文探讨儿童肘关节外伤时DR检查脂肪垫征(又叫八字征或船帆征)阳性但无明确骨折征象时,进而行MRI检查和3周后随访DR复查,以期能更好地对DR检查肘关节脂肪垫征阳性的临床意义有更准确地定性分析。方法分析了84例儿童肘关节外伤脂肪垫征阳性患者,DR片均为无明确骨折征象,进而行MRI检查和3周后DR复查。结果 MRI检查骨骺骨折29例,关节软骨骨折10例,隐形骨折和骨挫裂伤45例,MRI检查阳性率为100%。DR摄片复诊74例见骨膜反应。结论儿童肘部脂肪垫征阳性与骨折及骨骺分离骨质损伤高度相关。Objective This article discusses the elbow injury when children DR check shows ＂fat pad sign＂ positive, but no clear fracture, and then do MRI and three weeks after DR follow-up review, so as to better to DR check on the elbow fat pad sign positive clinical significance have more accurate qualitative analysis. Methods Analyzed 84 cases of children elbow injury with fat pad sign, DR imaging are no clear signs of fractures. And then do an MRI and three weeks after DR review. Result MRI images shows： epiphysis fracture 29 cases, articular cartilage fracture 10 cases, invisibility fracture and contusion and laceration of bone 45 cases, MRI positive rate was 100%. DR radiography after 74 patients sees periosteum reaction. Conclusion Children＇s elbow fat pad sign for the positive and fractures and separation bone damage height related alone.

关 键 词：儿童 肘关节 外伤 脂肪垫征 骨折 磁共振 

分 类 号：R445[医药卫生—影像医学与核医学]