中国组织工程研究

中国组织工程研究 ›› 2011, Vol. 15 ›› Issue (43): 8010-8013.doi: 10.3969/j.issn.1673-8225.2011.43.008

• 骨与关节图像与影像 bone and joint imaging • 上一篇    下一篇

磁共振三维血管成像技术评估股骨颈骨折股骨头血运状态

傅  宇，傅云根，徐文华，李俊宁，袁晓军   

  1. 宜春学院临床医学院，江西省宜春市  336000
  • 收稿日期:2011-06-25 修回日期:2011-08-23 出版日期:2011-10-22 发布日期:2011-10-22
  • 通讯作者: 傅云根，教授，宜春学院临床医学院，江西省宜春市336000
  • 作者简介:傅宇，男，1980年生，江西省宜春市人，汉族，2005年西北民族大学医学院毕业，主要从事股骨头坏死的研究。 fuyu81612@163.com

Three-dimensional vascular magnetic resonance assessment of the blood supply following femoral neck fracture

Fu Yu, Fu Yun-gen, Xu Wen-hua, Li Jun-ning, Yuan Xiao-jun   

  1. Clinical Medical College of Yichun University, Yichun  336000, Jiangxi Province, China
  • Received:2011-06-25 Revised:2011-08-23 Online:2011-10-22 Published:2011-10-22
  • Contact: Fu Yun-gen, Professor, Clinical Medical College of Yichun University, Yichun 336000, Jiangxi Province, China
  • About author:Fu Yu, Clinical Medical College of Yichun University, Yichun 336000, Jiangxi Province, China fuyu81612@163.com

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802

被引次数

7

摘要：

背景：国内外临床上判断股骨颈骨折后股骨头局部血运的方法较多，但使用时缺点较多，尤其是不能准确判断股骨颈骨折后周围2，3级血管的情况。
目的：利用磁共振三维血管成像技术评估股骨颈骨折股骨头血运状况，为手术方式的选择提供依据。
方法：选择2008-07/12宜春学院临床医学院收治的未行磁共振及三维血管成像检查16例股骨颈骨折患者，行闭合复位两枚双头加压螺钉固定(对照组)。选择2009-01/2011-02收治的行磁共振及三维血管成像检查的股骨颈骨折患者33例，根据检查结果对患侧旋股内侧动脉情况良好的30例行闭合复位两枚双头加压螺钉固定(实验组)，另3例行髋关节置换。
结果与结论：对照组中11例骨性愈合，5例出现股骨颈吸收，需行二次手术；实验组中29例骨性愈合，1例需行二次手术。说明磁共振三维成像技术能够清晰地显示骨颈骨折周围2~3级血管成像，指导手术选择，对预后做出较准确判断，减少二次手术的发生。

关键词: 磁共振三维血管成像, 股骨颈骨折, 旋股内侧动脉, 加压螺钉, 血运状态

Abstract:

BACKGROUND: Clinical judgments of local blood supply after femoral neck fracture are many; however, the disadvantages of these methods are also a lot. Especially, it cannot accurately judge the blood supply of 2-3 grade blood vessels around femoral neck fracture.
OBJECTIVE: Using three-dimensional magnetic resonance angiography to study the blood circulation of the femoral head after femoral neck fracture, providing a basis for the choice of surgical approaches.
METHODS: Sixteen patients with femoral neck fracture admitted at 2008-07/12 did not receive three-dimensional magnetic resonance angiography and were treated with closed reduction and double-headed pressurizing hollow screw as control group. Thirty-three patients with femoral neck fracture admitted at 2009-01/2011-02 underwent MRI and three-dimensional magnetic resonance angiography, closed reduction and two-headed compression screw fixation was performed in 30 cases as experimental group and hip replacement in 3 cases.
RESULTS AND CONCLUSION: In the control group, 11 cases had osteal healing and 5 cases needed other treatment; in the experimental group, 29 cases had osteal healing and 1 case needed other treatment. The three-dimensional magnetic resonance angiography can show the arteries and ramus around femoral neck clearly, and provide reference for selection of surgical approaches and reducing the incidence of secondary surgery.

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