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骨髓腔静脉造影在特发性股骨头坏死诊断中的应用
The Value of Intramedullary Phlebography in Diagnosis of Idiopathic Ischemic Necrosis of the Femoral Head
【摘要】 本文介绍17例(34髋)特发性股骨头坏死、4例(4髋)正常人骨髓腔静脉造影所见。发现25髋有异常改变,并经病理证实。作者认为:①骨干返流;②2支或2支以上静脉不显影;③多条静脉明显变细;④干骺端瘀积是股骨头坏死的造影表现,前二者是可靠的诊断依据。造影结果提示髓腔静脉造影是一种安全而敏感的诊断技术。
【Abstract】 Intramedullary phlebography were performed in 17 patients suffered from idiopathic ischemic necrosis of the femoral head (34 hips) ,and 4 normal adults (4 hips ). 25 hips showed abnormality ,and all of them were confirmed by pathology. The authors concluded that the manifestations of ischemic necrosis of the femoral head in intramedullary phlebography were as follow : diaphysial reflux; nondevelopment of two or more venous rami;several venous rami became thinner apparently metaphysial stasis. The former two manifestations were reliable for the diagnosis of ischemic necrosis of the femoral head . The results suggest that intramedullary phlebography is a safe and sensitive diagnostic technique.
【Key words】 Idiopathic ischemic necrosis of the femoral head; Intramedullary phlebography; Diagnosis;
- 【文献出处】 骨与关节损伤杂志 ,The Journal of Bone and Joint Injury , 编辑部邮箱 ,1994年02期
- 【分类号】R681.8
- 【被引频次】4
- 【下载频次】34