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影像学检查对早期股骨头缺血坏死诊断意义的实验研究
引用本文:刘兆玉,严学君,张伟,潘诗农,吴振华,李文达,刘长平,杨军. 影像学检查对早期股骨头缺血坏死诊断意义的实验研究[J]. 中国临床医学影像杂志, 1997, 0(3)
作者姓名:刘兆玉  严学君  张伟  潘诗农  吴振华  李文达  刘长平  杨军
作者单位:中国医科大学第二临床学院
摘    要:目的:通过动物实验研究,观察比较X线、ECT、MRI对于早期股骨头缺血坏死的诊断意义,提高早期股骨头缺血坏死的早期诊断率。材料方法:以5组(每组4只)共20只成年犬,手术结扎一侧股骨头所有滋养动脉,观察术后3天、7天、14天、30天及45天的影像学改变。结果:X线仅在术后45天组中有2只犬有片状低密度改变。ECT仅提示股骨头血液灌注不良。MRI在术后7天就发现有点状低信号改变。结论:MRI、ECT均比普通X线敏感,而MRI是诸方法中最敏感的。

关 键 词:股骨头坏死  实验研究  影像检查

Early-Stage Avascular Necrosis of Femoral Head(ANFH): Experimental Study of Diagnosal Significance by Imaging Examinations.
Liu Zhao-yu,Yan Xue-jun,Zhang Wei,et al.. Early-Stage Avascular Necrosis of Femoral Head(ANFH): Experimental Study of Diagnosal Significance by Imaging Examinations.[J]. Journal of China Clinic Medical Imaging, 1997, 0(3)
Authors:Liu Zhao-yu  Yan Xue-jun  Zhang Wei  et al.
Affiliation:Liu Zhao-yu,Yan Xue-jun,Zhang Wei,et al. Department of Radiology,No 2 Affiliated Hospital,China Medical University
Abstract:PURPOSE:To know and compare the diagnosal significance for early-stage ANFH by X-rays, ECT and MRI examination, and to improve the rate of diagnosis for early-stage ANFH; MATRIAL AND METHOD:20 adult dogs divided into 5 group(4 each group) were used. All the nutrient arteries of either side of femoral head were ligated by surgery. Then we observed the imaging changes after 3 days, 7 days, 14 days, 30 days and 45 days;RESULT:Low-density patchy shadow could be seen in X-rays films in only 2 dogs after 45 days. ECT examination only indicated the malinfusion of blood of invoved femoral head, while 7 days postoperation spotted low signal could be found in MRI;CONCLUSION:MRI and ECT are more sensitive than X-ray film in detecting ANFH, and MRI is the most sensitive way of the three.
Keywords:Necrosis of Femoral Head Experimental Study Imaging Examination  
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