髋关节一过性骨质疏松症的临床及影像学诊断  

The clinical and imaging diagnosis of transient osteoporosis of the hip

作　　者：叶亮[1] 简润强[1] 黄勇[1] 

机构地区：[1]广州中医药大学第一附属医院影像科,510405

出　　处：《实用医学影像杂志》2016年第6期517-519,共3页Journal of Practical Medical Imaging

摘　　要：目的探讨髋关节一过性骨质疏松(TOH)的临床表现及影像学特征、诊断及鉴别诊断要点。方法收集2010—2015年我院经治疗后随访证实的TOH病例21例,回顾性分析所有病例的临床表现及影像学特征。结果临床上21例患者均表现为髋部无明显诱因出现疼痛,磁共振成像(MRI)检查均表现为单侧股骨头、股骨颈、髋臼骨髓信号异常。结论 TOH的临床及影像学表现特别是MRI具有一定特征性,根据MRI表现,结合临床,可以提高对TOH的诊断正确性,指导临床针对性治疗。Objective To study the imaging features of transient osteoporosis of the hip（TOH）, the diagnosis and differential diagnosis. Methods The features of 21 cases with TOH followed up after clinical treatment were retrospectively analyzed from 2010 to 2015 in our hospital. Results There were no obvious predisposing causes of pain in all the patients. MRI examination showed abnormal signal on unilateral femoral head, femoral neck, and acetabu-lum bone marrow. Conclusion The clinical and imaging features of TOH, especially MRI has certain characteristics,according to MRI, which combined with the clinical, can improve the diagnostic accuracy of TOH, to guide the clini-cal treatment.

关 键 词：骨关节炎 髋 股骨头坏死 磁共振成像 

分 类 号：R580[医药卫生—内分泌] R684[医药卫生—内科学] R445.2[医药卫生—临床医学]