CAJ | 학술논문

目的：：对比分析早期股骨头坏死周围软组织病变患者的 DR、CT 与 MRI 的情况。方法：选取2013年11月—2014年10月在我院实施早期股骨头坏死疾病治疗的患者作为研究对象,共收集110例,共计168个股骨头受累。所有早期股骨头坏死疾病的患者都使用 Siemens Ax DR 机摄标准骨盆片,同时进行双髋关节 CT、MRI 平扫,通过三位有经验的放射科医师,采取影像学分析,使用双盲法观察扫描的影片,并记录和分析患者早期股骨头坏死周围软组织病变 DR、CT、MRI 的情况。结果：患者 CT 和 DR 比较股骨头韧带钙化、关节囊肿胀、骼腰肌囊扩张、肌肉萎缩有差异(P <0.05)；CT 和 MRI 比较股骨头韧带钙化有差异(P <0.05)；DR 和 MRI 比较关节囊肿胀、骼腰肌囊扩张、肌肉萎缩有差异(P <0.05)。结论：DR 能够将肌肉萎缩显示出来,但是存在辨别类别和程度的缺陷；CT 能够将关节囊的点条状钙化显示出来,MRI 和 CT 一样,可以有效区分肌肉萎缩的类别和程度,CT 和 MRI 在关节囊肿胀、肌肉萎缩两方面显示率最高。
목적：：대비분석조기고골두배사주위연조직병변환자적 DR、CT 여 MRI 적정황。방법：선취2013년11월—2014년10월재아원실시조기고골두배사질병치료적환자작위연구대상,공수집110례,공계168개고골두수루。소유조기고골두배사질병적환자도사용 Siemens Ax DR 궤섭표준골분편,동시진행쌍관관절 CT、MRI 평소,통과삼위유경험적방사과의사,채취영상학분석,사용쌍맹법관찰소묘적영편,병기록화분석환자조기고골두배사주위연조직병변 DR、CT、MRI 적정황。결과：환자 CT 화 DR 비교고골두인대개화、관절낭종창、격요기낭확장、기육위축유차이(P <0.05)；CT 화 MRI 비교고골두인대개화유차이(P <0.05)；DR 화 MRI 비교관절낭종창、격요기낭확장、기육위축유차이(P <0.05)。결론：DR 능구장기육위축현시출래,단시존재변별유별화정도적결함；CT 능구장관절낭적점조상개화현시출래,MRI 화 CT 일양,가이유효구분기육위축적유별화정도,CT 화 MRI 재관절낭종창、기육위축량방면현시솔최고。
Objective:Comparative analysis of early avascular necrosis of the femoral head in patients with peripheral soft tissue lesions by DR,CT and MRl conditions.Methods:From November 2013 to October 2014 in our hospital,the implementation of early avascular necrosis of the femoral head for the treatment of the diseases of patients as the re-search object,a total of 1 10 patients were collected,a total of 1 68 femoral head involvement.For all the early avascular necrosis of the femoral head in patients with the disease,use the Siemens Ax DR machine perturbation standard pelvic radiographs,at the same time double hip CT,MRI scan,by three experienced radiologists,take imaging analysis,using double blind observation scanning films,and record the early avascular necrosis of the femoral head and the surrounding soft group DR,CT,MRI in the lesions of patients with case analysis.Results:In patients with CT and DR comparison of the femoral head ligament calcification,joint swelling,iliopsoas bursa dilate,muscle atrophy has difference (P <0.05);CT and MRI to compare the femoral head ligament calcification differences (P < 0.05);DR and MRI to com-pare the joint swelling,iliopsoas bursa dilate,muscle atrophy there are differences (P < 0.05).Conclusion:DR is able to muscle atrophy is displayed,but defect category and the degree of discrimination;CT can be dot calcification of joint capsule display,MRI and CT,can effectively distinguish the category and the degree of muscle atrophy,CT and MRI in the joint swelling,muscle atrophy in two showed the highest rate of.