CAJ | 학술논문

目的??分析髋臼盂唇损伤的X线及MRI表现,为临床诊断髋臼盂唇损伤提供影像学依据.方法??回顾性分析19例经关节镜手术证实的髋臼盂唇撕裂患者的影像学表现(所有患者术前均行X线检查,14例行MRI平扫).结果??①关节镜下发现,19例髋臼盂唇撕裂患者中17例存在股髋撞击,其中7例为凸轮型撞击,3例为钳夹型撞击,7例为混合型撞击.②X线表现:12例存在股髋撞击,其中6例为凸轮型撞击,2例为钳夹型撞击,4例为混合型撞击;5例表现为程度不一的髋关节退行性改变;2例未见明显异常.③MRI表现:6例显示不同程度盂唇损伤,5例显示关节积液,3例显示股骨头骨髓水肿.结论??髋臼盂唇撕裂与股髋撞击综合征关系密切,X线对股髋撞击综合征的诊断有重要意义, MRI具有较高的组织分辨率,能更好地反映出盂唇撕裂的细微征象,结合X线及临床表现,可为临床制定治疗方案提供可靠依据.
목적??분석관구우진손상적X선급MRI표현,위림상진단관구우진손상제공영상학의거.방법??회고성분석19례경관절경수술증실적관구우진시렬환자적영상학표현(소유환자술전균행X선검사,14례행MRI평소).결과??①관절경하발현,19례관구우진시렬환자중17례존재고관당격,기중7례위철륜형당격,3례위겸협형당격,7례위혼합형당격.②X선표현:12례존재고관당격,기중6례위철륜형당격,2례위겸협형당격,4례위혼합형당격;5례표현위정도불일적관관절퇴행성개변;2례미견명현이상.③MRI표현:6례현시불동정도우진손상,5례현시관절적액,3례현시고골두골수수종.결론??관구우진시렬여고관당격종합정관계밀절,X선대고관당격종합정적진단유중요의의, MRI구유교고적조직분변솔,능경호지반영출우진시렬적세미정상,결합X선급림상표현,가위림상제정치료방안제공가고의거.
Objective??To?analyse?the?X-ray?and?Magnetic?resonance?imaging?(MRI)?features?of?acetabular?labral?tears,?so?that?to?improve?the?recognition?of?the?disease.?Methods??Imaging?features?of?19?patients?with?acetabular?labral?tears?confirmed?by?arthroscopy?were?analyzed?retrospectively?(All?cases?were?examined?by?X-ray,?14?patients?underwent?MRI?examinations).?Results??①17?of?the?19?patients?had?at?least?one?osseous?abnormality?consistent?with?femoroacetabular?impingement?(FAI)?under?arthroscopy,?among?them?7?cases?were?cam?impingement,?3?cases?were?pincer?impingement?and?7?cases?were?mixed?impingement.? ② X-ray?manifestations:?12?of?the?19?patients?had?FAI,?among?them?6?cases?were?cam?impingement,?2?cases?were?pincer?impingement?and?4?cases?were?mixed?impingement.?5?cases?showed?various?degrees?of?degenerations?of?hip?joint.?2?patients?had?no?identifiable?structural?abnormalities.?③MRI?showed?various?degrees?of?injury?of?labrum?in?6?patients,?joint?effusion?in?5?cases,?bone?marrow?edema?of?femoral?head?in?3?cases.?Conclusion??FAI?has?much?to?do?with?acetabular?labral?tears.?X-ray?examination?is?important?for?FAI?diagnosis.?Given?its?high?sensitivity?and?accuracy,?MRI?is?an?effective?preoperative?tool?for?defining?the?location?and?extent?of?labral?tears.?Combined?with?X-ray?imaging?and?clinical?manifestation,?MRI?can?provide?a?reliable?basis?for?clinical?diagnosis?and?treatment.