儿童臀肌挛缩症的CT诊断.pdfVIP

2004 4 38 4 　Chin J Radiol, April2004, Vol 38, No.4 ·365 · ·· 儿童臀肌挛缩症的CT 诊断 王龙胜　鲍家启　蒋家潭　张红亮　潘志立　胡克非　孙军　袁毅 　　【】　　CT 。　 61CT , , 20 CT 。　61 , 57 (93.4%), 4 (6.6%);CT :(1), 118 (100.0%), 16 (13.6%);12 (10.2%);4 (3.4%);4 (3.4%)。 (2)、。95 (80.5%), 24 (20.3%)。 (3), 81, , 36。(4), 38 (32.2%), 53 (44.9%), 27 (22.9%)。　CT , , 。 【】　;　, X ;　;　, ;　 ＊ CT diagnosis of gluteal muscle contracture in children　　WAN G Long -sheng ,B AO Jia-qi, JIANGJ ia- ＊ tan, ZHAN G Hong-liang , PAN Zhi-li, HU K e-f ei, S UN Jun, Y UAN Y i.Depa tment of Radiology , A nhui Child en ′s Hosp ital, Hef ei 230054, China 【Abstract】　Objective　To investigate theCT manifestationsof gluteal muscle contracture (G C)in children.Methods　Sixty-one cases of G C diagnosed by CT and proved by surgery and pathology were studied with 20 cases of non-G C as the control group.Results　57 cases (93.4%)were bilateral contracture and 4 cases (6.6%)were unilateral contracture in 61 cases of G C;The main CT manifestations were as follows:(1)gluteal muscle volume shrunk.there were 118 (100.0%)sides of gluteus maximus contracture, 16 (13.6%)sides of gluteus medius contracture, 12 (10.2%)sides of piriformiscontracture, 4 (3.4%)sides of gluteus minimus contracture,4 (3.4%)sidesof capsulaarticularis contracture;(2)calcification and necrosis in injection zones.There were 95 (80.5%)sides of gluteal calcification and 24(20.3%)sides of gluteal necrosis;(3)stripe crispation fascia.There were 81stripes crispation fascia located outboard laterals of gluteus maximus, 36 located inboard laterals of the latter;(4) gluteal muscle clearance widened.Therewere38 (32.2%)sidesof light degree gluteal muscle contracture, 53 (44.9%)sides of middle degree, and 27 (22.9%)sides of heavy degree.Conclusion 　CT can accurately diagnose G C and it plays an i