摘要
目的：分析股骨髋臼撞击综合征（Femoroacetabular impingement syndrome，FAI）的X线特征表现，前瞻性探讨FAI的X线分期诊断标准。方法：结合FAI X线平片评分法，对31例FAI患者和3例手术患者髋关节的X线片进行影像特征分析、分型、分期。结果：①X线平片可清晰显示髋关节特征性、形态学病变，应用FAI X线平片评分法，进行X线征象的量化分期，即评分低者，病变分期趋势亦早。②31例FAI中，Cam型9例，Pincers型7例，Mixed型15例。结论：X线诊断FAI主要征象是髋臼的异常形态和股骨头颈交界处病变，选定一些形态学指标进行测量及数据分析，可以对FAI分期提供有效参考价值。
Abstract
Objective: To evaluate the characteristic X-ray features of femoroacetabular impingement(FAI) syndrome and also prospectively establish a diagnostic and staging criteria for FAI syndrome. Methods: Combined with X-ray plain film of the hip joint and scoring method, the X-ray features of the hip in 31 patients with FAI and 3 patients after hip surgery were analyzed for classification and staging. Results: ①X-ray plain film can clearly show the characteristic changes of the hip joint in FAI syndrome. By quantifying X-ray features, 11 items were set up for measurement, scoring and staging of FAI. Low scoring of FAI, the pathological changes were also early and mild. ②Among the 31 FAI patients, 9 patients belong to Cam type impingement, 7 patients were pincer type impingement, 15 patients belong to mixed type. Conclusion: The main X-ray features of FAI are abnormal appearances of the acetabulum, femoral-neck junction. Analysis of the morphological deformation and measurement of the 11 items are valuable for the staging of FAI syndrome.
关键词
髋臼 /
股骨 /
软骨疾病 /
放射摄影术
Key words
Acetabulum /
Femur /
Cartilage diseases /
Radiology
蔡 懿;储东辉;叶胜强;赵松波;田昭俭.
股骨髋臼撞击综合征X线表现与分期的前瞻性研究[J]. 中国临床医学影像杂志. 2014, 25(4): 267-271
CAI Yi;CHU Dong-hui;YE Sheng-qiang;ZHAO Song-bo;TIAN Zhao-jian.
A prospective study on the X-ray features and staging of femoroacetabular syndrome[J]. Journal of China Clinic Medical Imaging. 2014, 25(4): 267-271
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