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表现股
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     The mean preoperative Harris hip score was 32 (25 to 52) points, which were improved to 96 points at the latest follow-ups. There was no reported incidence of thigh pain at any time throughout our study. And no case needed revision.
     髋关节功能从术前Harris平均评分32分(25~52分)恢复至最后随访时的平均96分(85~100分),至今无一髋表现股区痛或需行翻修手术。
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     CT Manifestaion of Aseptic Necrosis of the Femoral Head
     骨头无菌性坏死的CT表现
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Authors have taken SPECT tomography of double hip joints of 26 patients who had been suffering from early ischmic necrosis of femoral head but no abnormal expression in x - ray. The results demonstrate that all of 32 femoral heads invaded in 26 patients show osteonecrotic sign, so authors consider that SPECT tomgraphy have important signifi-cance to diagnose early ischemic necrosis of femoral head.

作者对26例X线片检查无异常表现的股骨头缺血坏死患者的双髋关节SPECT断层显像进行了研究。结果显示,受累的32个股骨头均有骨坏死征象。认为SPECT断层显像对早期股骨头缺血坏死的诊断具有重要意义。

Objective:To evaluate the MRI imaging in the diagnosis of avascular necrosis of the femoral head (ANFH).Methods:Sixteen cases with 26 affected femoral heads with ANFH were diagnosised by MRI imaging.SE sequence on T 1 WI and T 2 WI with 2 acquisition coronal and axical imaging.15 cases were examined by X ray,and 3 cases by CT.Result:The first MRI imaging of ANFH is abnormal signal;Eight cases showed the typical ″double line sign″,Twenty three...

Objective:To evaluate the MRI imaging in the diagnosis of avascular necrosis of the femoral head (ANFH).Methods:Sixteen cases with 26 affected femoral heads with ANFH were diagnosised by MRI imaging.SE sequence on T 1 WI and T 2 WI with 2 acquisition coronal and axical imaging.15 cases were examined by X ray,and 3 cases by CT.Result:The first MRI imaging of ANFH is abnormal signal;Eight cases showed the typical ″double line sign″,Twenty three affected heads showed collapse,Ten affected hip joints showed structure and 5 femorals showed dislocation.Conclusion:MRI imaging can show the ranges and seats of the ANFH clearly.It has height sensibility and specificity,and it has important clinical value.

目的:分析股骨头缺血性坏死的MRI表现,评价MRI对本病的诊断意义。方法:收集经MRI检查诊断的16例26个股骨头缺血性坏死患者,常规SE序列,轴位和冠状位扫描,T1—加权和T2—加权成像,15例经X线平片检查,3例有CT结果。结果:股骨头缺血性坏死最直观的MRI表现是股骨头内出现异常信号,8个出现“双线征”;具有特异性;23个股骨头塌陷,10个髋关节狭窄,5个股骨向外上移位。结论:利用MRI诊断股骨头缺血性坏死,能够准确地勾画出病变的范围和位置,具有高度敏感性和特异性,具有重要的临床应用价值。

Objective To study the early and new CT signs of avascular necrosis of femoral head in adults Methods The CT scans of 127 cases with this condition were analyzed Results There were 90 hip joints with femoral head normal in shape, including 67 femoral heads with only high density sclerosis and 23 ones with high density and low density areas In 111 hip joints, the femoral head was depressed and manifested purely high density sclerosis in 25 and mixed density areas in 86 Air filled cysts appeared...

Objective To study the early and new CT signs of avascular necrosis of femoral head in adults Methods The CT scans of 127 cases with this condition were analyzed Results There were 90 hip joints with femoral head normal in shape, including 67 femoral heads with only high density sclerosis and 23 ones with high density and low density areas In 111 hip joints, the femoral head was depressed and manifested purely high density sclerosis in 25 and mixed density areas in 86 Air filled cysts appeared in 43 femoral heads In follow up cases, the changes in shape and density of femoral head followed some rules Conclusion Purely high density sclerosis is an early sign and is of great diagnostic value combined with its special shape Air in femoral heads is also a sign of the disease

目的 探讨成人股骨头缺血坏死的早期CT表现和新征象。方法 回顾性阅读具有典型X线和CT表现并经病理或随访证实的 12 7例成人股骨头缺血坏死的CT片 ,分析其征象及变化。结果 CT表现 :股骨头完整组有 90个关节 ,其中单纯高密度硬化 6 7个股骨头 ,伴低密度区者 2 3个股骨头。股骨头塌陷组 111个髋关节 ,其中 2 5个股骨头示单纯高密度硬化 ,86个伴低密度区。 43个股骨头内出现气体。随访病例中 ,股骨头外形和密度也表现出一定规律。结论 股骨头内单纯高密度硬化是本病的早期征象 ,其特殊的形态组合有重要诊断价值。股骨头内气体也是该病的征象

 
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