蒋学祥,王霄英,肖江喜.MRI在SARS患者骨坏死随访中的应用[J].中国医学影像技术,2003,19(10):1279~1280
MRI在SARS患者骨坏死随访中的应用
MRI in the Following up of the Osteonecrosis in SARS Patients
投稿时间:2003-09-23  
DOI:
中文关键词:  严重急性呼吸综合征  骨坏死  磁共振成像  随访
英文关键词:Severe acute respiratory syndrome  Osteonecrosis  MRI  Following up
基金项目:
作者单位
蒋学祥 北京大学第一医院医学影像科,北京 100034 
王霄英 北京大学第一医院医学影像科,北京 100034 
肖江喜 北京大学第一医院医学影像科,北京 100034 
摘要点击次数: 2005
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中文摘要:
      目的 评价MRI在严重急性呼吸综合征(SARS)患者骨坏死随访中的作用。方法 对21位SARS康复出院3个月左右的患者行双髋MRI检查。对MRI发现异常者行CT及X线检查。结果 21例受检者中,共6例(28.6%)、11个股骨头发现异常(双侧5例、单侧1例)。均为女性,平均年龄29.7岁,平均激素用量3823mg。其MRI表现均符合Ficat早期(<Ⅱ期)股骨头缺血坏死表现。但5例患者的CT及6例X线平片均未见明显异常。结论 对于应用激素治疗的SARS患者,其随访时用MRI探查有无股骨头缺血坏死是非常必要的。
英文摘要:
      Objective To evaluate the significance of MRI in the following up of the osteonecrosis in SARS patients. Methods MRI images were obtained of the SARS patients within 3 months from the administration of corticosteroid. Additional CT and X-ray films were obtained if any abnormal signs were detected on MRI. Results 6(28.6%) of the 21 patients were found abnormal signals, the number of involved femoral head was 11(5 bilateral and 1 unilateral). All of the victims were women, average aged 29.7. The average dosage of the corticosteroid was 3823mg. In MR images, the appearances accorded to early stage of the avascular necrosis of femoral head (less than Ficat stage Ⅱ). But none of them had positive signs in the CT and X-ray films. Conclusion MRI is useful in the following up of the osteonecrosis in SARS patiens.
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