常见骨软骨缺血性坏死的X线诊断

X-ray Diagnosis of Common Ischemic Necrosis of Bone-Cartilages

目的探讨X线检查在骨软骨缺血性坏死诊断中的价值。方法对40例骨软骨缺血性坏死患者的常规放射资料进行回顾性分析。结果X线诊断股骨头骨骺缺血性坏死5例;胫骨结节骨软骨炎12例;耻骨联合骨软骨炎7例;剥脱性骨软骨炎6例;跖骨头缺血坏死7例;骨梗死3例。所有患者均有典型的X线表现。结论常规X线对骨软骨缺血坏死中晚期诊断有重要价值。

Objective To investigate the values of x-ray test in the diagnosis of osteochondrosis of isehemic necrosis in bone and cartilage. Methods X-ray testing documents of 40 cases with ischemic necrosis（ or osteoehondfitis） were analyzed retrospectively. Results Among the 40 cases, ischemie necrosis of the capital femoral osteoepiphysis was diagnosed by X-ray in five eases, osteo- chondritis of tibial tuberosity in 12 eases, osteochondritis of pubic symphysis in 7 eases, osteochondritis dissecans in 6 eases, ischemic necrosis in caput ossis metatarsalis in 7 cases and infarct of bone in 3 cases. Typical X-ray manifestation were found in all cases. Conclusion Rutine x-ray test was valuable for diagnosis of ischemic necrosis in mid-advanced stage.