摘要
目的探讨继发性髋-腰综合征的影像学表现及诊断标准。方法回顾性分析自2016-06—2019-06诊治的64例继发性髋-腰综合征,分析其影像学表现。结果64例影像学资料均经过完整分析,经确诊继发于股骨头缺血性坏死病例25例,继发于髋关节结构不良15例,继发于股骨髋臼撞击综合征10例,继发于髋关节盂唇、韧带、滑膜炎等6例,其它髋关节周围病变8例。64例腰椎均有不同程度旋转、侧弯,11例继发L4向前Ⅰ度滑移,10例继发L5向前Ⅰ度滑移,3例继发L5向前Ⅱ度滑移,40例脊柱前倾增加,17例继发腰椎间盘突出,10例椎间盘膨出,9例神经根不同程度受压。结论通过影像学资料全面分析髋-腰综合征有助于作出髋-腰综合征的临床诊断和并指导治疗。
Objective To explore the imaging manifestations and diagnostic criteria of secondary Hip-Spine Syndrome.Methods Sixty-four cases of secondary Hip-Spine Syndrome diagnosed and treated in our hospital from June 2016 to June2019 were analyzed retrospectively.Results The imaging data of 64 cases were analyzed completely.Twenty-five cases were secondary to avascular necrosis of the femoral head,15 cases were secondary to structural defect of the hip joint,10 cases were secondary to acetabulum impact syndrome of the femur,6 cases were secondary to peloid,ligament and synovitis of the hip joint,8 cases were other peripheral lesions of hip joints.Sixty-four cases of lumbar vertebrae had different degrees of rotation and scoliosis,11 cases of secondary L4 forwardⅠdegree slip,10 cases of secondary L5 forwardⅠdegree slip,3 cases of secondary L5 forwardⅡdegree slip,40 cases of increased spinal forward tilt,17 cases of secondary lumbar disc herniation,10 cases of disc herniation,9 cases of different degrees of nerve root compression.Conclusion The comprehensive analysis of Hip-Spine Syndrome by imaging data is helpful for the clinical diagnosis and treatment of Hip-Spine Syndrome.
作者
罗飞
易学冰
张德洲
潘小文
曾懿
王浩东
罗铧
LUO Fei;YI Xue-bing;ZHANG De-zhou;PAN Xiao-wen;ZENG Yi;WANG Hao-dong;LUO Hua(Department of Radiology,Sichuan Provincial Orthopaedic Hospital,Chengdu,Sichuan 610041,China)
出处
《中国骨与关节损伤杂志》
2020年第5期460-463,共4页
Chinese Journal of Bone and Joint Injury
基金
四川省卫生健康委员会科研课题(16PJ390)。
关键词
髋-腰综合征
X线片
CT平扫及重建
磁共振成像
Hip-Spine Syndrome
X-ray film
CT scan and reconstruction
Magnetic resonance imaging
