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特发性股骨头缺血性坏死髓腔静脉造影的X线表现
引用本文:田军 孟凯. 特发性股骨头缺血性坏死髓腔静脉造影的X线表现[J]. 医学影像学杂志, 1999, 9(4): 243-245
作者姓名:田军 孟凯
作者单位:山东省医学影像学研究所!250021(田军,孟繁禄),山东中医药大学附属医院(孟凯),山东省莱芜市人民医院(马效德),山东省泰山疗养院(尚随阳)
摘    要:目的探讨特发性股骨头缺血性坏死髓腔静脉造影的诊断价值。材料与方法对18个INFH病人的35个髋4个正常人的髋进行髓腔静脉造影。结果25个髋有异常改变并经病理证实,有意义的征象是:①2条以上主要静脉不显影;②造影剂向骨干方向返流;③多条静脉明显变细;④造影剂在干骺端滞留。其中前两项是可靠的诊断依据。结论髓腔静脉造影是一种安全而敏感的诊断技术。

关 键 词:股骨头  坏死  髓腔静脉造影

The Appearances of Intramedullary Phlebography in Idiopathic Ischemic Necrosis of Femoral Head
Tian Jun,Meng Kai,Ma Xiaode,et al. The Appearances of Intramedullary Phlebography in Idiopathic Ischemic Necrosis of Femoral Head[J]. Journal of Medical Imaging, 1999, 9(4): 243-245
Authors:Tian Jun  Meng Kai  Ma Xiaode  et al
Abstract:Purpose To study the diagnostic value of intramedullary phlebography in idiopathic ischemic necrosis of femoral head. Materials and methods Phlebography were performed in 18 patients with idiopathic ischemic necrosis of femoral head(35 hips),and 4 normal adults(4 hips). 25 hips showed abnormality, and all of them were confirmed by pathology. Results Nonvisualization of two or more venous rami, diaphysial reflux, several venous rami become thinner apparently, metaphysial stasis. The former two manifestations were reliable for the diagnosis of ischemic necrosis of the femoral head. Conclusion Intramedullary phlebography is a safe and sensitive diagnostic technique.
Keywords:Femoral head  Necrosis  Intramedullary phlebography
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