中国医疗前沿
中國醫療前沿
중국의료전연
CHINA HEALTHCARE INNOVATION
2013年
12期
86-87
,共2页
股骨头坏死%诊断
股骨頭壞死%診斷
고골두배사%진단
目的探讨成人股骨头坏死ANFH的X线与CT征象及临床价值。方法回顾性分析我院2010年1月-2013年1月经临床治疗及手术病理证实的34例48个股骨头坏死的X线和CT影像学资料。结果34例中单侧发病12例、占37.8%，双侧发病17例、占54.1%。X线检查：股骨头未发现异常5例，Ⅰ-Ⅱ期8例、Ⅲ期12例、Ⅳ期9例；CT检查：股骨头未见异常2例，Ⅰ-Ⅱ期11例、Ⅲ期12例、Ⅳ期9例。结论 X线是诊断股骨头坏死最基本、最常见的方法、能较好地显示病灶，但不能发现早期病灶， CT对于早期股骨头坏死敏感性高且能显示细节。
目的探討成人股骨頭壞死ANFH的X線與CT徵象及臨床價值。方法迴顧性分析我院2010年1月-2013年1月經臨床治療及手術病理證實的34例48箇股骨頭壞死的X線和CT影像學資料。結果34例中單側髮病12例、佔37.8%，雙側髮病17例、佔54.1%。X線檢查：股骨頭未髮現異常5例，Ⅰ-Ⅱ期8例、Ⅲ期12例、Ⅳ期9例；CT檢查：股骨頭未見異常2例，Ⅰ-Ⅱ期11例、Ⅲ期12例、Ⅳ期9例。結論 X線是診斷股骨頭壞死最基本、最常見的方法、能較好地顯示病竈，但不能髮現早期病竈， CT對于早期股骨頭壞死敏感性高且能顯示細節。
목적탐토성인고골두배사ANFH적X선여CT정상급림상개치。방법회고성분석아원2010년1월-2013년1월경림상치료급수술병리증실적34례48개고골두배사적X선화CT영상학자료。결과34례중단측발병12례、점37.8%，쌍측발병17례、점54.1%。X선검사：고골두미발현이상5례，Ⅰ-Ⅱ기8례、Ⅲ기12례、Ⅳ기9례；CT검사：고골두미견이상2례，Ⅰ-Ⅱ기11례、Ⅲ기12례、Ⅳ기9례。결론 X선시진단고골두배사최기본、최상견적방법、능교호지현시병조，단불능발현조기병조， CT대우조기고골두배사민감성고차능현시세절。
Objective To explore the imaging feature of X-ray and CT in patients with femoral head necrosis, and Its clinical diagnostic value. Method A retrospective analysis of our hospital in January 2013 a period of clinical cases, 34 cases of femoral head necrosis in 48 x-ray and CT imagining data,analysis of the diagnostic method. Result In all 34 cases, 12 cases with two side necrosis, occupied 37.8%. 17 cases with one side necrosis, occupied 54.1%. In X-ray findings. There’re 5 cases of abnormal, 8 cases in stage I and Ⅱ, 12 cases in stage Ⅲ, 9 cases in stage Ⅳ. In CT features. There’re 2 cases of abnormal, 11 cases in stage Ⅰ and Ⅱ, 12 cases in Ⅲ, 9 cases in Ⅳ. Conclusion It’s a basic simply method to diagnose avasular necrosis of femoral head by X-ray finding, and to show the foundation of illness. But it’s hard to find the early stage avasular necrosis of femoral head. There’s advantage for of early ANFH and details in pathological by CT.
