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成人股骨头坏死的X线与CT诊断及临床分析

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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。
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.

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116041 辽宁省大连市旅顺口区中医医院放射科

股骨头坏死 诊断

2013

中国医疗前沿
中国医院协会

中国医疗前沿

影响因子:0.186
ISSN:1673-5552
年,卷(期):2013.(12)
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