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目的:对化脓性髋关节炎的CT与MRI的影像资料进行探究。方法:对34例化脓性髋关节炎患者的CT与MRI征象资料进行分析研究。34例患者中实施CT检查的患者有26例,进行MRI检查的患者有18例,同时进行两项检查的患者有18例。结果:CT检查情况:21例患者显示软组织肿胀(其中Ⅰ度患者8例,Ⅱ度患者7例,Ⅲ度患者6例),11例患者显示关节腔积液,18例显示滑膜肉芽组织增生,9例患者髋关节骨质破坏,16例患者骨质硬化,3例患者骨质疏松,5例患者骨内积气,2例患者脓肿样囊腔;MRI检查情况:10例患者显示软组织肿胀(其中Ⅰ度患者4例,Ⅱ度患者3例,Ⅲ度患者3例),13例患者显示关节腔积液,13例患者显示滑膜肉芽组织增生,12例患者显示关节间隙改变。结论:化脓性髋关节炎患者的CT与MRI检查,在临床上对其病症的诊断与治疗具有非常重要的意义。
Objective: To explore CT and MRI imaging data of suppurative arthritis of the hip. Methods: The CT and MRI signs of 34 cases of suppurative hip arthritis were analyzed. Twenty-six of the 34 patients underwent CT, 18 received MRI, and 18 received two exams simultaneously. Results: CT examination: Twenty-one patients showed soft tissue swelling (including 8 patients with grade Ⅰ, 7 patients with grade Ⅱ and 6 patients with Ⅲ degree), 11 patients showed joint effusion and 18 patients showed synovial granulation tissue hyperplasia , Bone destruction of the hip joint in 9 patients, bone sclerosis in 16 patients, osteoporosis in 3 patients, bone gas in 5 patients and abscess-like cysts in 2 patients. MRI examination: Ten patients showed soft tissue swelling (4 in grade I, 3 in grade II, and 3 in grade III), 13 in the joint effusion, 13 in the synovial granulation tissue, and 12 in the joint. Conclusion: CT and MRI in patients with suppurative arthritis of the hip are clinically important for the diagnosis and treatment of the disease.