中国医学影像学杂志
中國醫學影像學雜誌
중국의학영상학잡지
CHINESE JOURNAL OF MEDICAL IMAGING
2012年
12期
905-907
,共3页
疝,股%股骨颈%发病率%放射摄影术
疝,股%股骨頸%髮病率%放射攝影術
산,고%고골경%발병솔%방사섭영술
Hernia, femoral%Femur neck%Incidence%Radiography
目的探讨股骨颈疝窝的发生率及其 X 线表现.资料与方法回顾常州市第一人民医院放射科2011-01~12所摄成人骨盆 X 线片3874例,其中男2012例,女1862例,分析股骨颈疝窝的发生率和 X 线表现,并对不同性别及不同年龄段的发病情况进行分层分析.结果3874例中共发现股骨颈疝窝207例,发生率为5.3%,其中男122例(58.9%),女85例(41.1%).左侧100例(48.3%),右侧85例(41.1%),双侧22例(10.6%).男、女发病率分别为6.1%(122/2012)和4.6%(85/1862)(χ2=4.294, P<0.05).青年、中年和老年股骨颈疝窝的发病率分别为3.4%(55/1615)、7.1%(83/1168)、6.3%(69/1091)(χ2=21.243, P<0.05).X 线显示股骨颈疝窝的发生部位为股骨头基底和股骨颈近段前部皮质下,表现为股骨颈外上象限的类圆形透亮区,边界清楚,大多周边有硬化缘.结论本研究中,成人股骨颈疝窝的发生率为5.3%,根据特定的发生部位和典型的类圆形囊性透亮区,伴有轻度硬化边的 X 线征象可作出明确诊断.
目的探討股骨頸疝窩的髮生率及其 X 線錶現.資料與方法迴顧常州市第一人民醫院放射科2011-01~12所攝成人骨盆 X 線片3874例,其中男2012例,女1862例,分析股骨頸疝窩的髮生率和 X 線錶現,併對不同性彆及不同年齡段的髮病情況進行分層分析.結果3874例中共髮現股骨頸疝窩207例,髮生率為5.3%,其中男122例(58.9%),女85例(41.1%).左側100例(48.3%),右側85例(41.1%),雙側22例(10.6%).男、女髮病率分彆為6.1%(122/2012)和4.6%(85/1862)(χ2=4.294, P<0.05).青年、中年和老年股骨頸疝窩的髮病率分彆為3.4%(55/1615)、7.1%(83/1168)、6.3%(69/1091)(χ2=21.243, P<0.05).X 線顯示股骨頸疝窩的髮生部位為股骨頭基底和股骨頸近段前部皮質下,錶現為股骨頸外上象限的類圓形透亮區,邊界清楚,大多週邊有硬化緣.結論本研究中,成人股骨頸疝窩的髮生率為5.3%,根據特定的髮生部位和典型的類圓形囊性透亮區,伴有輕度硬化邊的 X 線徵象可作齣明確診斷.
목적탐토고골경산와적발생솔급기 X 선표현.자료여방법회고상주시제일인민의원방사과2011-01~12소섭성인골분 X 선편3874례,기중남2012례,녀1862례,분석고골경산와적발생솔화 X 선표현,병대불동성별급불동년령단적발병정황진행분층분석.결과3874례중공발현고골경산와207례,발생솔위5.3%,기중남122례(58.9%),녀85례(41.1%).좌측100례(48.3%),우측85례(41.1%),쌍측22례(10.6%).남、녀발병솔분별위6.1%(122/2012)화4.6%(85/1862)(χ2=4.294, P<0.05).청년、중년화노년고골경산와적발병솔분별위3.4%(55/1615)、7.1%(83/1168)、6.3%(69/1091)(χ2=21.243, P<0.05).X 선현시고골경산와적발생부위위고골두기저화고골경근단전부피질하,표현위고골경외상상한적류원형투량구,변계청초,대다주변유경화연.결론본연구중,성인고골경산와적발생솔위5.3%,근거특정적발생부위화전형적류원형낭성투량구,반유경도경화변적 X 선정상가작출명학진단.
Purpose To study the incidence rate and radiologic findings of the herniation pits of the femoral neck. Materials and Methods From January to December 2011, 3874 adult pelvic X-ray films (2012 men and 1862 women) were reviewed. The incidence, radiologic findings of the herniation pit of the femoral neck were analyzed, and then followed with statistic analysis about pathogenic situation of different genders and ages. Results Of 3874 cases, there were 207 cases (5.3%) with herniation pits of the femoral neck, including 122 males (58.9%) and 85 females (41.1%). The lesions localized in the left joint in 100 cases (48.3%), in the right joint in 85 cases (41.1%) and in bilateral joints in 22 cases (10.6%). There were 6.1% (122/2012) in males and 4.6% (85/1862) in females (χ2=4.294, P<0.05). The incidence rate of young, middle-aged and the aged group were 3.4% (55/1615), 7.1% (83/1168) and 6.3% (69/1091), respectively (χ2=21.243, P<0.05). On X-ray film, the lesions appeared as a round radiolucency with thin clear sclerotic rim in the superior lateral part of the femoral neck and the base of the femoral head. Conclusion In our study, the incidence rate of the herniation pit of the femoral neck is 5.3%. The characteristic location and typical shape with round to oval radiolucency surrounded by a thin zone of sclerosis on X-ray will be helpful for the diagnosis of herniation pits of the femoral neck.