MRI随访在经导管灌注治疗非创伤性股骨头缺血性坏死疗效评估中的价值

发布时间：2018-04-21 16:14

  本文选题：股骨头 + 坏死　； 参考：《临床放射学杂志》2016年04期

【摘要】：目的探讨MRI随访在经导管动脉灌注(TAI)治疗非创伤性股骨头缺血性坏死(ANFH)疗效评估中的价值。方法对22例(30髋)经临床和影像学检查确诊的非创伤性ANFH患者采用TAI治疗,并比较治疗前后临床症状、髋关节功能及MRI影像改变。随访观察9~36个月。按ARCO分期,0期1髋;Ⅰ期6髋;Ⅱ期20髋;Ⅲa期3髋。结果 TAI术后,0期+Ⅰ期患者髋关节功能评分由术前平均(82.7±2.48)分增至术后平均(99.98±3.45)分;Ⅱ期患者髋关节功能评分由术前平均(76.9±3.23)分增至术后平均(95.07±3.68)分;Ⅲa期患者髋关节功能评分由术前平均(69.8±1.22)分增至术后平均(90.09±3.17)分。差异均有显著性统计学意义(P0.05)。MRI随访发现19髋(63.3%)有不同程度好转,股骨头坏死区病灶稳定,见增生、硬化及囊变缩小,骨髓水肿范围变小,髋关节积液减少;2髋(6.7%)病变基本保持不变;9髋(30%)病变加重,表现为骨髓水肿范围增大、髋关节积液增多,但在继续随访中病变好转。结论非创伤性ANFH患者TAI术后MRI随访有一定的价值,但需结合患者的临床及其他影像资料才是科学的随访措施。
[Abstract]:Objective to evaluate the value of MRI follow-up in the treatment of nontraumatic avascular necrosis of femoral head (ANFH) by transcatheter arterial infusion (TAI). Methods 22 patients with nontraumatic ANFH diagnosed by clinical and imaging examinations were treated with TAI. The changes of clinical symptoms, hip function and MRI images before and after treatment were compared. The patients were followed up for 9 ~ 36 months. There were 1 hip in stage 0 according to ARCO stage, 6 hips in stage 鈪，

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