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目的探讨髋关节结核的X线、CT和MRI表现特点及其诊断价值。方法收集32例经临床和病理证实的髋关节结核,对其X线、CT和MRI表现进行回顾性分析。结果 32例髋关节结核中滑膜型关节结核6例(18.75%),骨性关节结核10例(31.25%),全关节型关节结核16例(50%)。结论 X线平片是诊断髋关节结核的基本方法;MRI能更细致地显示病变关节滑膜、软骨和软骨下骨的改变以及关节囊内的病理成分,对早期髋关节结核的诊断及术前病灶部位和范围的提示更理想。
Objective To investigate the features and diagnostic value of X-ray, CT and MRI in the diagnosis of hip tuberculosis. Methods Thirty-two cases of clinically and pathologically confirmed hip tuberculosis were collected, and their X-ray, CT and MRI findings were retrospectively analyzed. Results 32 cases of synovial tuberculosis tuberculosis in 6 cases (18.75%), 10 cases of osteoarticular tuberculosis (31.25%), all-joint joint tuberculosis in 16 cases (50%). Conclusion X-ray film is the basic method of diagnosis of tuberculosis of the hip joint. MRI can show the synovial, cartilage and subchondral bone changes and the pathological components of the joint capsule in more detail. The diagnosis of early-stage tuberculosis and preoperative Lesions and areas of the prompts more ideal.