發(fā)布時(shí)間：2018-03-06 12:05

  本文選題：髂腰肌囊　切入點(diǎn)：髖關(guān)節(jié)　出處：《廣東醫(yī)學(xué)》2016年12期 　論文類型：期刊論文

【摘要】：目的研究髂腰肌囊擴(kuò)張影像學(xué)特點(diǎn)并分析相關(guān)因素對(duì)其影響。方法回顧性分析60例經(jīng)關(guān)節(jié)鏡手術(shù)或穿刺活檢證實(shí)的髂腰肌囊擴(kuò)張患者(擴(kuò)張組)臨床資料及CT、MR圖像,同時(shí)選取60例無(wú)髂腰肌囊擴(kuò)張的患者作為對(duì)照組,應(yīng)用Mann-Whitney U和Wilcoxon W檢驗(yàn)分析包括性別、年齡、單雙側(cè)、是否合并其他髖關(guān)節(jié)病變等因素對(duì)該病的影響。結(jié)果擴(kuò)張組與對(duì)照組分為男33例(55.0%)、36例(60.0%),女27例(45.0%)、24例(40.0%);擴(kuò)張組年齡16~66歲,平均(41.6±5.7)歲,其中18歲4例(6.7%),≥18歲56例(93.3%),對(duì)照組年齡16~64歲,平均(42.6±6.2)歲,其中18歲6例(10.0%),≥18歲54例(90.0%)。擴(kuò)張組、對(duì)照組分為單側(cè)48例(80.0%)、50例(83.3%),雙側(cè)12例(20.0%)、10例(16.7%)。擴(kuò)張組合并有股骨頭壞死28例(46.7%),骨性關(guān)節(jié)炎26例(43.3%),正常者6例(10%),對(duì)照組合并髖關(guān)節(jié)病變50例(83.3%),正常者10例(16.7%)。兩組年齡、單雙側(cè)、是否合并其他髖關(guān)節(jié)病變均差異有統(tǒng)計(jì)學(xué)意義(P0.05),兩組性別差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。CT、MR圖像特點(diǎn):擴(kuò)張的髂腰肌囊呈囊性低密度,MR呈長(zhǎng)T1、長(zhǎng)T2水樣信號(hào),脂肪抑制像呈高信號(hào),邊緣多光滑銳利,呈水滴樣或卵圓形改變,其后緣為關(guān)節(jié)囊,內(nèi)側(cè)緣為股動(dòng)靜脈。結(jié)論髂腰肌囊擴(kuò)張無(wú)明顯性別差別,常見(jiàn)18歲以上成年人,大多數(shù)為單側(cè)發(fā)生,常合并有股骨頭壞死、骨性關(guān)節(jié)炎等髖關(guān)節(jié)疾病,CT、MR為其首選的檢查手段,可對(duì)該病作出明確診斷。
[Abstract]:Objective to study the imaging features of iliopsoas bursa dilatation and to analyze the influence of related factors on it. Methods the clinical data and CT Mr images of 60 patients with iliopsoas bursa dilatation (dilated group) confirmed by arthroscopy or puncture biopsy were retrospectively analyzed. At the same time, 60 patients without iliopsoas sac dilatation were selected as control group. Mann-Whitney U and Wilcoxon W test were used to analyze sex, age, unilateral and bilateral. Results the patients in the expansion group and the control group were divided into three groups: 33 males (55.0%) and 36 cases (60.030%), 27 females (45.0%) and 24 cases (40.0%), the age of the expansion group was 1666 years (mean 41.6 鹵5.7) years. Among them, 4 cases were 18 years old, 56 cases were above 18 years old, 56 cases were above 18 years old. The control group was 1664 years old with an average age of 42.6 鹵6.2 years, of which 6 cases were 18 years old and 54 cases were over 18 years old. The control group was divided into 48 cases with unilateral 80. 0 and 50 with 83.3, 12 with bilateral 20. 0 and 10 with 16. 7. Dilation and 28 with necrosis of femoral head, 26 with osteoarthritis, 46 with 43.3, 6 with normal, 50 with hip lesions, 10 with normal, 10 with 16. 7. The age of the two groups were unilateral and bilateral. There were significant differences in other hip lesions between the two groups (P 0.05). There was no significant difference between the two groups. The enlarged iliopsoas bursa presented long T 1, long T 2 water like signal and high signal intensity in fat suppressor imaging, and the enlarged iliopsoas bursa showed long T 1, long T 2 water like signal and high signal intensity. The margin of iliopsoas muscle sac is more smooth and sharp, with water droplets or oval changes, the posterior margin is the articular capsule, and the medial margin is femoral arteriovenous. Conclusion there is no significant gender difference in the dilatation of iliopsoas muscle sac, most of which occur on one side in adults over 18 years of age. CTMR is the first choice for the diagnosis of hip joint diseases such as osteoarthritis and necrosis of femoral head.
【作者單位】： 廣東省深圳市龍崗中心醫(yī)院醫(yī)學(xué)影像科;江西省宜春市萬(wàn)載縣人民醫(yī)院外二科;廣東省深圳市龍崗中心醫(yī)院超聲科;
【分類號(hào)】：R681;R445.2;R816.8

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