摘要
目的 :探讨B超诊断小儿单侧髋关节暂时性滑膜炎的诊断建议值和分型。材料和方法 :对 10 6例单侧髋关节暂时性滑膜炎病例 ,采用髋关节前侧切面进行双髋B超对比检查 ,并随机抽取与病例组年龄范围相同的 87例健康儿童进行双髋B超检查 ,作为对照组。结果 :所有的髋关节暂时性滑膜炎病例患髋股骨颈颈前间隙均较健侧增宽 ,平均增宽值为 2 4～ 4 6mm ,其中 ,76例患侧关节腔尚存在积液。结论 :双髋B超对比检查 ,当双侧股骨颈颈前间隙的差值 >1mm时 ,可诊断为该病 ,并可分为“关节腔积液型”和“关节囊肿胀型”
Purpose: To determine the ultrasonographic criteria and categorization of unilateral transient hip synovitis in children. Materials and Methods: 106 patients with a clinical diagnosis of unilateral transient hip synovitis and 87 normal children (randomly selected) underwent ultrasonographic assessment on their hip joints bilaterally. Both groups of children were age matched. Results: A significantly increased distance between femoral neck and fibrous joint capsule was found by ultrasonographic assessment in all 106 symptomatic hips. The mean distance is 2.4～4.6mm. In 76 of 106 cases, the affected hips contain effusion. Conclusion: If the distance from femoral neck to fibrous joint capsule differed >1mm between bilatoral hips in a child, the diagnosis of synovitis of hip was established. Two sub types were defined as 'joint capsule effusion'and 'joint capsule swelling'.
出处
《中国医学影像学杂志》
CSCD
2002年第1期24-27,共4页
Chinese Journal of Medical Imaging
基金
深圳市科技计划项目基金资助 (2 0 0 0 0 60 36)
