路淮英,栾德广,姜书平,杨青,李传亭.股骨头缺血坏死的X线、CT和MRI表现和诊断价值[J].中国医学影像技术,2001,17(11):1113~1114
股骨头缺血坏死的X线、CT和MRI表现和诊断价值
Appearances and Diagnostic Value of X-ray, CT and MR Imaging in Avascular Necrosis of Femoral Head
投稿时间:2001-07-05  
DOI:
中文关键词:  股骨头  缺血坏死  X线摄影  CT  磁共振成像
英文关键词:Femoral head  Avascular necrosis  Radiography  Computed tomography  Magnetic resonance imaging
基金项目:
作者单位
路淮英 山东省立医院放射科,山东济南 250021 
栾德广 山东烟台芝罘医院 
姜书平 山东乳山市人民医院 
杨青 山东省医学影像学研究所 
李传亭 山东省立医院放射科,山东济南 250021 
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中文摘要:
      目的 分析股骨头缺血坏死的X线、CT和MRI早期表现,评价它们的诊断价值。方法 73例双侧股骨头行X线、CT和MRI检查,分析其对早期ANFH的早期显示能力。结果 X线发现Ⅰ~Ⅱ期ANFH 31例,诊断准确率42.5%(31/73);CT发现Ⅰ~Ⅱ期ANFH 43例,诊断准确率为58.9%(43/73);MRI发现Ⅰ~Ⅱ期ANFH 65例,诊断准确率为78.2%(57/73)。结论 X线平片难以发现ANFH的早期表现,MRI是显示早期ANFH有效而可靠的方法,可提供更多的诊断信息,诊断价值高于CT和X线平片。
英文摘要:
      Purpose To analysis the early appearances and to evalutate the diagnostic value of X-ray, CT and MR imaging in avascular necrosis of femoral head (ANFH). Methods X-ray, CT and MRI were performed in 73 cases of bilateral femoral head. The ability of X-ray, CT and MRI to demonstrate the early ANFH was analysised. Results The diagnostic accuracy was 42.5% for X-ray, 63.2% for CT and 100% for MRI. Conclusion It is difficult for X-ray plain film to find out the early ANFH. MRI is reliable to display the early ANFH and could provide more diagnostic information. Diagnostic value of MRI is superior to CT and X-ray plain film.
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