成人坐骨股骨撞击综合征MRI表现与疼痛症状的相关性研究  

The relation of MRI appearance and pain symptom in ischiofemoral impingement syndrome of adults

作　　者：张欲翔 卢军丽[2] 赵建[3] 包超恩[4] 张平[3] 刘业伟[1] 石宇 高宇 李卓异 Zhang Yuxiang;Lu Junli;Zhao Jian;Bao Chaoen;Zhang Ping;Liu Yewei;Shi Yu;Gao Yu;Li Zhuo Yi(Department of Radiology,Hebei Provincial Hospital of Traditional Chinese Medicine,Shijiazhuang 050011,China;Department of Radiology,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of CT/MR,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China;Department of Oncology,the Third Hospital of Hebei Medical University,Shijiazhuang 050051,China)

机构地区：[1]河北省中医院放射科,石家庄050011 [2]河北医科大学第三医院放射科,石家庄050011 [3]河北医科大学第三医院CT/MR室,石家庄050011 [4]河北医科大学第三医院肿瘤科,石家庄050011

出　　处：《中华老年骨科与康复电子杂志》2019年第6期322-326,共5页Chinese Journal of Geriatric Orthopaedics and Rehabilitation(Electronic Edition)

基　　金：河北省科技厅科技支撑项目（17277732D）

摘　　要：目的探讨坐骨股骨撞击综合征的临床疼痛症状与坐骨股骨间隙(IFS)、股方肌间隙(QFS)狭窄的程度及股方肌形态、水肿程度之间的相关性。方法回顾性收集2016年1月至2017年12月河北医科大学第三医院确诊为坐骨股骨撞击综合征(IFI)且符合纳入标准的患者43例,共86个髋关节。其中女性37例(86%),男性6例(14%)。分别进行临床疼痛评分分级及MRI图像分析,IFS、QFS均在横轴位T1WI序列上进行测量,股方肌水肿分级的判定以及评分在横轴位T2WI序列上观察。结果不同临床疼痛组间IFS间距均无显著差异(F=0.120,P>0.05);不同临床疼痛组间QFS间距均无显著差异(F=0.204,P>0.05)。股方肌水肿评分分级与临床的疼痛程度有显著相关性(F=9.795,P<0.05)。结论女性坐骨股骨撞击综合征占比高于男性,坐骨股骨间隙及股方肌间隙的狭窄程度不能直接反应IFI临床疼痛症状,股方肌水肿程度与临床疼痛症状程度有较密切的相关性。Objective To investigate the correlation between pain symptoms of ischiofemoral impingement syndrome(IFI)and the stenosis degree of ischiofemoral space(IFS),quadratus femoris space(QFS)and the dysfunction of quadratus femoris.Methods Forty-three participants(F/M=37/6)diagnosed as IFI and meeting the set standards were included,from January 2016 to December 2017 in the third hospital of Hebei Medical University.The pain score and MRI of 86 hip joints were analysed.The width of IFS and QFS were measured on axial T1WI and the edema degree of quadratus femoris was evaluated on axial T2WI.Results The difference of IFS and QFS between different pain groups were not significant(F=0.120,P>0.05;F=0.204,P>0.05).However,There was a significant correlation between quadratus femoris edema and hip pain degree(F=9.795,P<0.05).Conclusion The proportion of female was significantly higher than that of male in IFI.The stenosis of IFS and QFS could not elucidate clinical symptoms.However,the edema degree of QFS was related to the pain severity.

关 键 词：髋关节 坐骨股骨撞击综合征 水肿 磁共振成像 

分 类 号：R68[医药卫生—骨科学]