CT与MRI早期诊断股骨头缺血坏死的影像学分析——评《骨伤科影像学》

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早期股骨头缺血坏死是由于血液供应受阻而导致的骨组织死亡及后续反应性改变,多与外伤、酗酒、服用激素、减压病等相关.股骨头是最常见的受损部位,亦常见于胫骨结节、椎体骺板、腕月骨及足舟骨等处,一般为单发,亦可多部位受累.早期股骨头缺血坏死在临床症状上表现不明显,以长时间活动后的髋部疼痛为主,病变组织大体结构并未被破坏,和活骨的密度与结构均有一定的相似性,导致早期影像学诊断体现出不同的诊断效能,而核磁共振(MRI)联合电子计算机断层扫描(CT)对早期股骨头缺血坏死诊断有一定价值.
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