本文選題：坐骨 + 股骨�。� 參考：《中國組織工程研究》2017年15期

【摘要】：背景:坐骨股骨撞擊綜合征越來越引起人們的重視,但因其發(fā)病率較低,國內(nèi)外相關(guān)研究較少,部分影像科醫(yī)生對該病的影像學(xué)表現(xiàn)認(rèn)識不夠深刻。目的:探討坐骨股骨撞擊綜合征的MRI診斷標(biāo)準(zhǔn),以提高對坐骨股骨撞擊綜合征MRI表現(xiàn)的認(rèn)識。方法:選擇擬診斷為坐骨股骨撞擊綜合征的病例16例21髖作為病例組,25例健康志愿者作為對照組,在MRI軸位像上分別測量雙側(cè)坐骨股骨間距(即坐骨結(jié)節(jié)與股骨小轉(zhuǎn)子間的最短距離)與股方肌間距(股骨小轉(zhuǎn)子與乆繩肌腱止點(diǎn)的距離),并觀察股方肌的信號及形態(tài)。對比分析2組坐骨股骨間隙和股方肌間隙的差異。結(jié)果與結(jié)論:(1)16例患者中女13例,男3例;雙髖發(fā)病5例,均為女性;(2)病例組患側(cè)坐骨股骨間距為(13.65±3.87)mm,對側(cè)為(22.17±5.75)mm,差異有顯著性意義(P0.01);患側(cè)股方肌間距為(7.15±3.50)mm,對側(cè)為(12.89±3.13)mm,差異有顯著性意義(P0.01);(3)對照組左側(cè)坐骨股骨間距為(23.59±6.14)mm,右側(cè)為(23.08±5.82)mm,雙側(cè)對比差異無顯著性意義(P0.05);對照組左側(cè)股方肌間距為(12.41±3.75)mm,右側(cè)為(13.22±3.84)mm,雙側(cè)對比差異無顯著性意義(P0.05);(4)病例組患側(cè)坐骨股骨間距、股方肌間距與對照組比較差異有顯著性意義(P0.01),病例組對側(cè)坐骨股骨間距、股方肌間隙與對照組比較差異無顯著性意義(P0.05);(5)病例組股方肌有不同程度變形、水腫及萎縮;(6)綜上,女性坐骨股骨撞擊綜合征的發(fā)病率明顯高于男性,雙側(cè)發(fā)病常見�；紓�(cè)坐骨股骨間距≤11.46 mm,股方肌間距≤5.53 mm,患側(cè)股方肌水腫和形態(tài)異常,為坐骨股骨撞擊綜合征的MRI診斷標(biāo)準(zhǔn)。MRI軸位壓脂圖像是診斷坐骨股骨撞擊綜合征的敏感序列。
[Abstract]:Background: more and more attention has been paid to the sciatic femur impingement syndrome, but because of its low incidence and few related studies at home and abroad, some imaging doctors do not have a deep understanding of the imaging manifestations of the disease. Objective: to investigate the diagnostic criteria of MRI in sciatic femur impingement syndrome (IHS) in order to improve the recognition of MRI manifestations of ischium femur impingement syndrome (IHS). Methods: 16 cases (21 hips) of sciatic femur impingement syndrome were selected as the control group, 25 healthy volunteers were selected as the control group. The distance between the bilateral sciatic femur (the shortest distance between the ischium and the femoral trochanter) and the quadratus femoris (the distance between the trochanter of the femur and the insertion point of the rope tendon) were measured on the MRI axial images, and the signal and morphology of the quadratus femoris were observed. The difference of femoral space and quadratus femoris space between the two groups was compared and analyzed. Results and conclusion among the 16 cases, 13 cases were female, 3 cases were male, 5 cases were double hip disease, The distance between the sciatic femur of the affected side and the contralateral side was 13.65 鹵3.87 mm and 22.17 鹵5.75 mm respectively, the difference was significant (P 0.01), the distance of the quadratus femoris was 7.15 鹵3.50 mm, the contralateral side was 12.89 鹵3.13 mm, the difference was significant (P 0.01). The distance between the left side and the right side of the control group was 23.59 鹵6.14 mm and 23.08 鹵5.82 mm, respectively. There was no significant difference in bilateral contrast (P 0.05), while in the control group, the distance between the left quadratus femoris was 12.41 鹵3.75 mm, the right side was 13.22 鹵3.84 mm, and the bilateral contrast had no significant difference (P 0.05). The distance of quadratus femoris was significantly different from that of the control group (P 0.01). The distance of the contralateral ischium femur and the space between the quadratus femoris and the control group were not significantly different from those of the control group (P 0.05). The quadratus femoris of the case group had different deformations, edema and atrophy. The incidence of femur impingement syndrome in female is higher than that in male, and bilateral incidence is common. The distance between the affected femur and quadratus femoris was less than 11.46 mm and 5.53 mm, respectively. The edema and morphological abnormality of the affected side of the quadratus femoris were the diagnostic criteria of the sciatic femur impingement syndrome. The axial compression fat image was a sensitive sequence for the diagnosis of the sciatic femur impingement syndrome.
【作者單位】： 四川省骨科醫(yī)院;
【分類號】：R445.2;R681

【相似文獻(xiàn)】

相關(guān)期刊論文 前9條

1 安永勝,杜心如,李桂萍,石友民,孔祥玉,唐世英;內(nèi)斜位X線片顯示股骨距影像特征及其臨床意義[J];中國臨床解剖學(xué)雜志;2004年05期

2 安永勝,杜心如,石友民,李桂萍,唐世英,孔祥玉,王天成;外斜位X線片顯示股骨距影像特征及其臨床意義[J];中國臨床解剖學(xué)雜志;2005年04期

3 王震宇，戴克戎;股骨距與股骨上段有效髓腔的幾何形態(tài)學(xué)研究[J];中華骨科雜志;1994年07期

4 劉鳳然;老年股骨轉(zhuǎn)子間骨折的康復(fù)訓(xùn)練及護(hù)理[J];職業(yè)與健康;2003年12期

5 劉小麗;呂鵬;;亞洲型髓內(nèi)髖部螺釘治療老年股骨轉(zhuǎn)子間骨折52例的護(hù)理[J];中國誤診學(xué)雜志;2011年02期

6 顧躍進(jìn)，，郭娟;穿針支架外固定治療股骨頸及股骨順粗隆間骨折手術(shù)465例護(hù)理體會[J];武警醫(yī)學(xué);1998年04期

7 翁梅;王琦;左紅梅;;抗旋髓內(nèi)釘治療老年不穩(wěn)定型股骨轉(zhuǎn)子間骨折的手術(shù)配合[J];護(hù)理實(shí)踐與研究;2012年18期

8 孟慶真;牛志霞;張延琴;;動力髁鋼板治療股骨轉(zhuǎn)子間骨折的護(hù)理[J];中國美容醫(yī)學(xué);2012年16期

9 ;[J];;年期

相關(guān)碩士學(xué)位論文 前1條

1 李金花;DXA股骨強(qiáng)度指數(shù)測量的臨床應(yīng)用研究[D];暨南大學(xué);2009年

本文編號：1952342