Bone scintigraphy of hip joint effusions in children.
Bone scintigraphy of hip joint effusions in children.
复制标题
儿童髋关节积液的骨闪烁扫描。
DOI：
10.2214/ajr.140.5.995
复制
发表时间：
1983
期刊：
影响因子：
--
通讯作者：
K. Gartke
中科院分区：
文献类型：
--
作者：
R. Kloiber;W. Pavlosky;O. Portner;K. Gartke
对 38 名急性发作的髋部疼痛儿童进行了骨闪烁扫描研究。九名患者的放射性示踪剂沉积减少，涉及整个股骨近端骨化中心。这可能与梗塞或紧张的关节积液压迫血液供应有关。其中八名患者进行了关节抽吸，证实存在积液。五名患者在抽吸后进行了后续研究，除了一名随后被证明患有梗塞的患者外，所有患者的股骨头摄取均恢复正常。 10 名患者的血池图像上发现了光缺乏区，其中许多人还吸出了液体。骨闪烁扫描可用于诊断关节积液，并且可以提供有关股骨头灌注状态的信息。抽吸后的后续研究可以区分梗塞和可逆性缺血。
Thirty-eight children with hip pain of acute onset were studied by bone scintigraphy. Nine patients had diminished radiotracer deposition involving the entire proximal femoral ossification center. This could be related to infarction or compression of the blood supply by a tense joint effusion. Eight of these patients had joint aspiration confirming the presence of an effusion. Five patients had follow-up studies after aspiration, and femoral-head uptake reverted to normal in all but one which subsequently proved to be infarcted. A photopenic zone was seen on blood pool images in 10 patients, many of whom were also aspirated of fluid. Bone scintigraphy is useful in the diagnosis of joint effusions and can give information as to the state of perfusion of the femoral head. Follow-up studies after aspiration can differentiate infarction from reversible ischemia.