摘要
目的:探讨磁共振成像中坐骨股骨间隙(IFS)、股方肌间隙(QFS)、髋臼前断面角(AASA)、髋臼后断面角(PASA)、髋臼前倾角(α)及髋臼外展角(β)各参数对坐骨股骨撞击综合征(IFI)的诊断价值.方法:选取2022年11月—2023年12月在沭阳仁慈医院进行影像学检查的26例IFI患者(设为病例组)以及同期进行健康体检的43名体检者(设为对照组)为研究对象,通过磁共振成像测量两组研究对象IFS、QFS、AASA、PASA、α、β,分析组间差异以及各参数对IFI的诊断价值.结果:病例组研究对象IFS及QFS小于对照组,差异有统计学意义(P＜0.05);病例组研究对象AASA、α、β大于对照组,差异有统计学意义(P＜0.05);病例组研究对象PASA与对照组相近,差异无统计学意义(P＞0.05).病例组研究对象IFS与QFS呈正相关性,与α、β呈负相关性(P＜0.05).结论:磁共振成像中IFS、QFS、AASA、α、β等参数在IFI诊断中有较高应用价值.
Abstract
Objective To explore the changes and correlation of ischiofemoral space(IFS),quadratus femoris space(QFS),anterior acetabular sector angle(AASA),posterior acetabular sector angle(PASA),acetabular anteversion angle(α)and acetabular abduction angle(β)measured by magnetic resonance imaging(MRI),and to clarify the diagnostic value of MRI in ischiofemoral impingement syndrome(IFI).Methods To select Shuyang Renci Hospital from November 2022 to December 2023 26 IFI patients who underwent imaging examinations in the hospital(set as the case group)and 43 examinees who underwent health examinations during the same period(set as the control group)were studied through magnetic resonance imaging measure two groups of research subjects:IFS,QFS,AASA,PASA,α and β,and analyzed the differences between groups and the diagnostic value of each parameter for IFI.Results The IFS and QFS of the study subjects in the case group were smaller than those in the control group,and the difference was statistically significant(P<0.05).AASA,α,andβ in case study subjects were bigger than the control group,the difference was statistically significant(P<0.05).The study subjects PASA in the case group were similar to those in the control group,and the difference was not statistically significant(P>0.05).There was a positive correlation between IFS and QFS in the case study group,and negative correlation with α and β(P<0.05).Conclusion The measurement of IFS,QFS,ischial angle,HTA and width of ischial spacing by MRI has important diagnostic value in ischiofemoral syndrome.
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