MRI关于非创性股骨头坏死骨髓水肿相关性的研究.pdfVIP

Clinical Study of BME in the Nontraumatic Osteonecrosis of the Femoral Head Speciality: Orthopaedics of TCM Author:Liu xiaochen Tutor:Prof:Liu Fuqi Abstract Objective ：To evaluate bone marrow edema(BME) on MRI image in nontraumatic osteonecrosis of the femoral head(NONFH) and the relationship between BME with age 、 etiological fator 、 hip pain and the stage of NONFH, discuss the mechanism and significance of occurrence and development of BME in NONFH, in order to strengthen further understandings about clinical significance of BME in NONFH and to provide objective imaging proof for Chinese traditional medicine treatment based on stasis theory.Methods ：With all 123 hips in 72 patients with NONFH,BME is identified from etiological fator: 46 hips from Acohol,57 hips from Hormone,20 hips from others, according to age ,NONFH is divided into three groups:41 hips in 19-40,65 hips in 41-60,17 hips in 60;BME is identified from MRI:30 with grade 0 (no BME)，62 with grade 1(small BME) ，31 with grade 2 (large BME).Based on rating scale of pain,NONFH is divided into three groups:28 hips in the no pain group,94 hips in the mild pain group,26 hips in the moderate or severe pain group. According to ARCO staging system,NONFH is divided into four stages:10 hips in stage I, 52 hips in stage II, 50 hips in stage III and 11 hips in stage IV. Contingency table analyses and rank sum tests are used to compare the difference of etiological fators、ages、 pain gradings and stages among these groups.Results ：There 2 is no correlation of BME to etilogical fat