低场MRI对早期股骨头缺血坏死诊断价值.docVIP

低场MRI对早期股骨头缺血坏死诊断价值【摘要】目的:研究低场MRI对对早期股骨头缺血坏死的诊断价值和影像学表现。方法 回顾性分析43例86个股骨头经临床证实股骨头坏死患者X线平片、CT及低场MRI检查资料，对其影像学改变进行分期及敏感性对照。结果86个股骨头X线平片正常38个，其中Ⅰ期20个，表现为骨质疏松和骨硬化;Ⅱ期28个，表现为骨硬化及囊状低密度区。CT表现正常21个，其中Ⅰ期27个，表现为骨小梁星芒状结构消失，骨质疏松及骨硬化；Ⅱ期38个，表现为骨硬化和囊状透亮区。低场MRI表现Ⅰ期30个，表现为斑点状T1WI低信号；Ⅱ期35个，表现为T1WI、T2WI序列上斑片状或不规则低、等、高混杂信号；Ⅲ期21个，在T1WI、T2WI序列上呈片状低信号，并见高信号环绕。三者比较差异教大，意义显著。结论 CT及低场MRI可早期显示ANFH病变，而低场MRI对ANFH的敏感性及找诊断价值高于X线平片及CT. 【关键词】股骨头坏死；磁共振成像；体层摄影术；X线计算机 The Value of Low Field MRI in Diagnosis of Early Avascular Necrosis of Femoral Head WEI LinLI GechangMENG Jiayan 【Abstract】 Objective To study the finding of early avascular necrosis of the femoral head(ANFH)on low field MRI and their diangnostic significance.Methods Low Field MRI findings in 43 patients with 86 ANFH proved by pathology were analyzed retrospectively and ompared with X-ray and CT finding. Rank sum H test and sensitivity were completed. ResultOn X-ray film, no abnormality of femoral head was visibl e in 38 places,stage Ⅰshowed as osteoporosis and osteosclerosis in 20 places, stage Ⅱshowed as osteoscleroses and cystiform hyaline regions in 28 places.On CT image, no abnormality of femoral head was visible in 21 places, stage Ⅰshowed as stelliform sign distortion, osteoscleroses and osteoporosis in 27 places, stage Ⅱshowed as osteoscleroses and cystiform hyaline regions in 38 places.On Low Field MRI stage Ⅰshowed as mottling hypointensity on T1WI in 30 places, stage Ⅱshowed as patchy or irregular shape hypointensity,isointensity,hyperintensity and heterogeneous intensity on T1WI and T2WI in 35 places, stage Ⅲ showed as patchy hypointensity on T1WI and T2WI in 21 places,the periphery was circled with hyperintense band.Rank sum H test and sensitivity compar were striking.ConclusionCT and Low Field MRI could exactly display early ANFH Sensitivity and diagnostic value of Low Field MRI is superior to CT and X-ray film. 【Key words】Femur head necrosis,Tomography,X-raycomputed, Magnetic resonance imaging 【中图分类号】R425