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髋部骨髓水肿综合征的MRI诊断

中文摘要英文摘要

目的 探讨髋部骨髓综合征的影像学诊断。方法 收集我院经临床、MRI及X线3~6个月随访证实13例髋部骨髓水肿综合征的影像学资料,进行回顾性分析,其中男性9例,女性4例,13例MRI检查,5例X线检查。结果 13例髋部骨髓水肿综合征中,右髋8例,左髋5例;病变累及股骨头、股骨颈10例;累及股骨头、股骨颈及股骨粗隆3例;MRI表现:T1WI 低信号 13 例;T2WI 稍高信号或高信号12例,等信号1例;13例STIR或PDW-SPAIR均为高信号;4例关节腔少量积液,呈长T1、长T2信号;X线表现:5例股骨头、股骨颈及股骨粗隆骨质密度减低;所有病例骨皮质和股骨头外形完整,周围软组织结构正常。结论 熟悉并掌握髋部骨髓综合征的影像学特点,有利于做出正确诊断。

Objective To investigate the imaging diagnosis of bone marrow edema syndrome of the hip. Methods The imagingdata of 13 cases9 males and 4 femalesof bone marrow edema syndrome were collected. All patients were followed-up for 3to 6 months.13 patients underwent MRI scanning and 5 patients underwent X-ray examination. Results Thirteen cases ofbone marrow edema syndrome of the hip, right hip in 8 cases, left hip in 5 cases. The bone marrow edema pattern involved thefemoral head and femoral neck in 10 hips. The bone marrow edema involved thefemoral head and femoral neck and femoraltrochanteric in 3 cases. The MRimages demonstrated low signal intensity in all 13 cases on T1WI and normal signal intensityin1 case on T2WI.moderateor high signal intensity in 12 cases on T2WI and high signal on T2fat suppressed in all 13 cases. Asmall joint effusion was observed in 4 cases on T2WI. X-ray manifestations: femoral head and femoral neck bone densitydecrease in 5 cases. The femoral head shape and bone cortex were normal in all 13 cases. Conclusion Familiar with theimaging findings of bone marrow edema syndrome of the hip canimprove the correct diagnosis.

陈 超;尹 阳;李 娜;王 霞

10.12074/201712.00468V1

临床医学基础医学

骨髓水肿综合征髋关节磁共振成像X线

陈 超;尹 阳;李 娜;王 霞.髋部骨髓水肿综合征的MRI诊断[EB/OL].(2017-12-07)[2025-08-04].https://chinaxiv.org/abs/201712.00468.点此复制

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