贵州医科大学学报

1988, (01) 51-54+102

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少年股骨头骨软骨炎临床X线分析
CLINICAL AND RADIOLOGICAL ANALYSIS OF OSTEOCHONDRITIS OF FEMORAL HEAD IN YOUTH

陈绪光;
Chen Xusuang Dep of Radiol

摘要(Abstract):

本文分析了26例少年股骨头骨软骨炎的临床X线表现。X线上的早期改变有:髋关节内隙加宽,股骨头骺密度增加、囊状透光区形成、轻度变扁和股骨头骺关节软骨下骨折线的出现。进展期的改变,除股骨头骺密度增加变扁明显外,股骨头骺有碎裂、股骨颈的骨疏松和增粗变短,同侧闭孔缩小,股骨头骺脱位以及合并髋白骨软骨炎。讨论了少年股骨头骨软骨炎X线诊断的临床意义、临床表现、病理和X线征象的相互关系,以及与髋关节结核、克汀病的鉴别诊断。
Early diagnosis and prompt treatment of osteochondritis of femoral head in youth were very important. Clinical and radiological appearance of osteochondritis of femoral head in youth of 23 cases were analyzed, Early changes of X-ray are as follows: widening of the medial space of articular coxae; increasing of density of caput ossis femoris; appearancing of linea fracture of epiphysis of caput ossis femoris under cartiiago articularis; cyst-like lucency of epiphysis of caput ossis femoris; slightly flattening of caput ossis femoris. Except increasing of density and deformed flattening significantly, changes of progressed term were: distracted cracks of epiphysis of caput ossis femoris; osteoporosis and shortening and eoasing of collum ossis femoris; smalling of ipsilateral foramen obtuatum; dislocation of femoral head; complication of osteochondritis of acetabulum. Clinical significance of X-ray diagnosis of osteoeondritis of femoral head in youth and correlation of clinical appearance, pathology and X-ray signs of the disease were discussed. Differential diagnosis of the disease from tuberculosis of articular coxac and cretinism were proposed.

关键词(KeyWords): 股骨头;骨软骨炎;儿童;X线密度测定
Femur head Osteoohondritis Child Eensitometry, X-ray

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作者(Author): 陈绪光;
Chen Xusuang Dep of Radiol

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DOI: 10.19367/j.cnki.1000-2707.1988.01.015

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