X线平片与CT对股骨头缺血性坏死诊断价值.docVIP

X线平片与CT对股骨头缺血性坏死诊断价值 　　【摘要】目的：比较和评价X线平片与CT扫描2种检查方法对股骨头缺血性坏死（ANFH）的诊断价值。方法：回顾性分析我院50例经X线平片与CT扫描并经我院或外院手术或骨穿病理证实的股骨头缺血性坏死（ANFH）。结果：发现50例股骨头受累，单侧股骨头受累28例，占56.0%；双侧股骨头受累22例，占44.0%。普通X线平片诊断Ⅰ～Ⅱ期ANFH6例，Ⅲ～Ⅳ期34例，阳性率80％；CT诊断Ⅰ～Ⅱ期ANFH 13例，Ⅲ～Ⅳ期34例，阳性率95％。结论：①X线平片是诊断ANFH最基本、最经济、简单的方法，但在早期不易发现导致漏诊。②CT可以早期发现病变，对诊断起决定性作用。随着CT的普及，是早期诊断或者确诊ANFH必要检查方法。 　　【关键词】股骨头缺血性坏死;影像学诊断;早期诊断;X线诊断 　　【中图分类号】R683.42【文献标识码】A【文章编号】1007-8517(2009)10-0082-02 　　 　　The dignostic value of avascular necrosis of femoral head by X-ray and CT 　　LI YingLIN ShengguiCHRN Huasheng 　　 (Hospital Diagnostic Imaging Center of YI Hui Fund,GUANG Dong,SHAN Wei,516600 ） 　　【Abstract】 Objective:To compare and evaluate the dignostic value of avasular necrosis of femoral head(ANFH) by two checking methods:X-ray and CT. Methods: Retrospective analysis of 50 cases in our hospital by the X-ray and CT scan and by our hospital, or outside the hospital surgery orbone puncture pathology verified avascular necrosis of femoral head (ANFH). Results: 50 cases of femoral head involvement, 28 cases of unilateral involvement of the femoral head, accounting for 56.0%; 22 cases of bilateral femoral head involvement, accounting for 44.0%. Ordinary X-ray diagnosis of stage Ⅰ ~ Ⅱ ANFH6 Example, Ⅲ ~ Ⅳ period 34 cases, positive rate of 80%; CT diagnosis of stage Ⅰ ~ Ⅱ ANFH13 Example, Ⅲ ~ Ⅳ period 34 cases, positive rate of 95%, conclusion: (1) X-ray diagnosis of ANFH are the most basic, most economical, simple,but it is not easy to find in the early cause of missed diagnosis. (2) CT can be early detection of disease, play a decisive role in the diagnosis. With the popularity of CT, it is the necessary checking method to early diagnosis or to make a definite diagonosis of ANFH. 　　【Keywords】 ANFH;Imaging diagnosis;Early diagnosis;CT diagnosis;X-ray diagnosis;Value 　　 　　股骨头无菌性坏死（又称缺血??坏死），是较常见的骨关节疾病，是因各种原因导致股骨头供血不足或中断引起的一系列病理改变。股骨头缺血坏死临床并非少见。现总结50例股骨头缺血坏死的X线平片与CT表现如下。 　　 　　1资料与方法 　　 　　1.1一般资料收集整理我院2000年~2008年50例经X线平片与CT扫描并经我院或外院手术或骨穿病理