[1]邬小平,刘春英,张东,等.髋关节一过性骨髓水肿综合征的MRI诊断及鉴别诊断[J].陆军军医大学学报(原第三军医大学学报),2008,30(20):1937-1939.
　WU Xiao-ping,LIU Chun-ying,ZHANG Dong,et al.MRI diagnosis and differential diagnosis of transient bone marrow edema syndrome of the hip[J].J Amry Med Univ (J Third Mil Med Univ),2008,30(20):1937-1939.
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陆军军医大学学报（原第三军医大学学报）[ISSN:1000-5404/CN:51-1095/R]

卷:
30卷
期数:
2008年第20期
页码:
1937-1939
栏目:
论著
出版日期:
2008-10-30

文章信息/Info

Title:
MRI diagnosis and differential diagnosis of transient bone marrow edema syndrome of the hip
作者:
邬小平; 刘春英; 张东; 宁文德; 杨军乐; 董季平; 银小辉
西安市中心医院医学影像中心；西安市红十字会医院放射科
Author(s):
WU Xiao-ping;  LIU Chun-ying;  ZHANG Dong;  NING Wen-de;  YANG Jun-le;  DONG Ji-ping;  YIN Xiao-hui
Medical Imaging Centre, Xi’an City Central Hospital, Xi’an 710003; Department of Radiology, Xi’an Red Cross Hospital, Xi’an 710054, China
关键词:
骨髓; 水肿; 股骨; 磁共振成像
Keywords:
bone marrow;  edema;  femur;  magnetic resonance imaging
分类号:
R442.8;R445.2;R551.304
文献标志码:
A
摘要:
目的    探讨髋关节一过性骨髓水肿综合征MRI表现 ,提高其诊断及鉴别诊断水平。    方法    结合文献对13例髋关节一过性骨髓水肿综合征的MRI表现进行回顾性分析。    结果    双侧髋关节同时受累4例，单侧9例（左侧6例，右侧3例）；病变累及股骨头、股骨颈13侧，累及股骨头、股骨颈及股骨粗隆4侧。病变在T1WI呈等或略低信号13例；T2WI呈高信号或略高信号11例，等信号2例；T2WI脂肪抑制病变均呈高信号。合并关节积液8例，呈长 T1、长T2信号。股骨头形态均无异常。    结论    正确认识髋关节一过性骨髓水肿综合征的 MRI表现，有利于正确诊断，减少误诊。
Abstract:
Objective    To study MR imaging features of transient bone marrow edema syndrome of the hip so as to improve its diagnosis and differential diagnosis.     Methods    MR images of transient bone marrow edema syndrome of the hip in 13 patients were retrospectively analyzed in combination with literature review.     Results    The bilateral hips were affected in 4 patients. The single hip was affected in 9 patients, left hip in 6 and right hip in 3. The MR images demonstrated low signal intensity in all 13 patients on T1WI, and normal signal intensity in 2 patients, moderate or high signal intensity in 11 patients on T2WI, and high signal on T2 fat suppressed or STIR images in all 13 patients. The bone marrow edema pattern involved the femoral head and neck in 13 hips, the femoral head and neck and the intertrochanteric region in 4 hips. A small joint effusion was observed in 8 hips on T2WI. The configuration of femoral heads were normal.     Conclusion    Correct judgement of MRI manifestations of transient bone marrow edema syndrome of the hip can improve its diagnosis and differential diagnosis.

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更新日期/Last Update: 2008-10-10