髋关节功能位数字化断层融合成像观察髋关节撞击综合征相关征象的价值

发布时间：2018-06-12 21:23

本文选题：数字化断层融合成像 + 髋关节撞击综合征　；参考：《临床放射学杂志》2015年05期

【摘要】：目的探讨髋关节屈曲外展外旋功能位下行数字化断层融合(DTS)成像观察髋关节撞击综合征(FAI)相关征象的价值。方法对临床症状、体征、数字X线摄影(DR)前后位平片表现均符合FAI诊断的42例患者在髋关节屈曲外展外旋功能位下行DTS检查,以配对四格表χ2检验比较DR前后位和DTS功能位对FAI各个相关征象检出的差异。结果 DTS功能位对股骨颈疝窝、股骨头颈交界处骨质突起、髋臼盂唇骨化、髋臼囊变4个征象的检出率(24%、43%、22%、19%)高于DR前后位(13%、22%、7%、6%)(二项分布确切概率法P=0.031、0.001、0.008、0.016);两种检查方法对髋臼骨赘、深髋臼、关节间隙狭窄、后壁征的检出差异没有统计学意义(DTS:72%、57%、11%、13%,DR:67%、57%、11%、13%,二项分布确切概率法P=0.25、1、1、1)。结论髋关节屈曲外展外旋功能位下行DTS可细致地观察撞击试验阳性患者髋关节的解剖结构异常及继发性骨质改变,并对相关征象进行精确定位。
[Abstract]:Objective to investigate the value of digital tomofusion DTS (DTS) imaging in the diagnosis of hip impact syndrome (Faii). Methods DTS was performed on 42 patients with clinical symptoms, signs, digital radiographs and DRR findings before and after the diagnosis of FAI. The differences between Dr and DTS functional loci in the detection of FAI were compared by 蠂 2 test. Results the detection rate of 4 signs of femoral neck hernia fossa, femoral head neck junction, acetabular glenoid lip ossification, acetabular sac degeneration in DTS functional position was 24443 and 2222. The DTS functional position was higher than that in Dr position 132222. The exact probability of binomial distribution was P0.031 0.0010.0080.0080.016, and two methods were used to examine acetabular osteophyte. There was no significant difference in the detection of posterior wall sign between deep acetabular and articular space. There was no significant difference in the detection of posterior wall sign. There was no significant difference in the detection of DTS: 72, and there were 57, 11, 13, and 5, 67, and 57, 11, and 13, and the binomial distribution exact probability method, P0. 25, 1, 1, 1, 1, 1, 1, 1, 1. Conclusion DTS can be used to observe the anatomic structure abnormalities and secondary bone changes of hip joints in patients with positive impact test by DTS in flexion and outreaching functional position of hip joint, and to locate the relevant signs accurately.
【作者单位】：河北医科大学第三医院放射科;
【分类号】：R684;R816.8

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