| 股骨上端骨髓水肿综合征的MRI表现特点 |
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Received:August 20, 2013
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| 期刊信息：《中国骨伤》2014年27卷，第7期，第575-578页 |
| DOI：10.3969/j.issn.1003-0034.2014.07.010 |
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目的：分析股骨上端骨髓水肿综合征的MRI表现特点以提高对该病的认识。
方法: 回顾性分析10例股骨上端骨髓水肿综合征患者的MRI表现，男6例，女4例；年龄36～57岁，平均41.5岁；病史1周～3个月。临床表现为突然发作的髋部疼痛9例，行走能力及髋关节活动受限7例；全部病例无明显外伤史，女性患者未在孕期。随访3～12个月，症状消失3个月复查MRI后结束随访。
结果：MRI主要表现为弥漫性骨髓水肿，累及股骨头、颈、粗隆间，10例13髋中骨髓水肿1级6髋，2级5髋，3级2髋。合并髋关节积液9髋，Ⅰ级积液6髋，Ⅱ级1髋，III级2髋。治疗3～12个月后患者髋部疼痛症状消失，股骨内MRI信号恢复正常。
结论：MRI有利于明确股骨上端骨髓水肿综合征的诊断、病变部位和范围。 |
| [关键词]:股骨 骨髓 水肿 磁共振成像 |
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| MRI characteristic of proximal femur bone marrow edema syndrome |
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Abstract:
Objective: To study the MRI features of proximal femur bone marrow edema syndrome for further improve the understanding of the disease.
Methods: MRI imaging of 10 patients with proximal femur bone marrow edema syndrome was retrospectively reviewed,including 6 males and 4 females with an average age of 41.5 years old ranging from 36 to 57. The courses of diseases ranged from 1 week to 3 months. Among them,9 cases had clinical manifestations of sudden hip pain,7 cases had limited ability of walking and hip movement;all patients had no obvious injury history,non of the female patients was pregnant. All patients were followed up from 3 to 12 months,the following-up were topped after MRI when the symptoms disappeared for 3 months.
Results: The MRI demonstrated diffuse bone marrow edema involving the femoral head,neck and the inter-trochanteric region,13 hips of 10 patients with bone marrow edema included 6 cases in grade 1,5 cases in grade 2,2 cases in grade 3; 9 hips with hip hydrarthrosis included 6 hips in gradeⅠ,1 hip in gradeⅡ,2 hips in grade Ⅲ. After treatment for 3 to 12 months the hip symptoms of the patients disappeared and MRI images were normal.
Conclusion: MRI is useful in defining the location and extent of proximal femur bone marrow edema syndrome. |
| KEYWORDS:Femur Bone marrow Edema Magnetic resonance imaging |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 吴锡渊.股骨上端骨髓水肿综合征的MRI表现特点[J].中国骨伤,2014,27(7):575~578 |
| 英文格式: | WU Xi-yuan.MRI characteristic of proximal femur bone marrow edema syndrome[J].zhongguo gu shang / China J Orthop Trauma ,2014,27(7):575~578 |
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