股骨头

OBJECTIVE: To compare the sensitivity of X-ray plain film, CT and magnetic resonance imaging in revealing subchondral fractures.

目的：比较X射线平片、CT和MRI对诊断股骨头缺血坏死并软骨下骨折的敏感性。

BACKGROUND: Subchondral fractures were identified as the most complication of the femoral head necrosis and had important influences on the treatment and prognosis.

摘要背景：软骨下骨折是成人股骨头缺血坏死的重要合并症，对患者的治疗和预后有重要影响，然而有关软骨下骨折的病理及影像学表现尚缺乏深入的研究。

The size and location can be controled theorically.

理论上，可以控制股骨头坏死的大小及位置。

In addition with more mortality and general complications,we therefore recommend primary operative stabilization of undisplaced femoral neck fractures.

结论股骨颈无移位骨折保守疗治的患者承受较高的继发移位和股骨头坏死的危害，所以笔者建议早期切除缝合疗治无移位型股骨颈骨折。

Meanwhile, ultrasonography can show what radiography can't do, such as the structure of cartilage, ligment tire of fumel head and other soft tissues in acetabula.

同时超声能显示出X线片不能显示的结构如软骨、股骨头圆韧带和髋臼内其他软组织的情况。

Methods From February 2000 to February 2006, 19 patients with DDH, whose acetabula were shallow and small and femoral head were big, were treated by reformative Pemberton acetabular osteotomy.

000年2月~2006年2月，对DDH髋臼浅而小、股骨头大的19例21个髋关节，在通常术式的基础上，对Pemberton截骨术式进行改良，将截骨点下移，扩大翻转骨瓣面积；取股骨截骨段植骨。

Methods From March 1994 to December 2002, on the basis of the ordinary operative method, Pemberton method was improved for 48 cases of DDH 49 articulatio coxae which had superficial and small acetabula but big heads of femur. Osteotomy points were moved higher to enlarge area of bone flap turned over. A piece of full thickness ilium including periosteum was removed as a free bony graft. Capsula articularis growing thicker was made into 2 layers, of which the inner layer was used to tighten articularis and the outer layer was used to stabilize bone flap.

1994年3月～2002年12月，对DDH髋臼浅而小、股骨头大的48例49个髋关节，在通常术式的基础上，对Pemberton截骨术式进行改良，将截骨点上移，扩大翻转骨瓣面积；取髂骨全层骨板连带附着的骨膜植骨；增厚的关节囊制成两层，内层紧缩关节，外层稳定骨瓣。

Results 1～19years follow-up survey,among26cases,25cases of its function of coxae arts were good,had it appeared case had it union6monthes after operation.

结果 术后1～9年的随访26例中25例骨折愈合良好，功能恢复，皆无并发股骨头坏死或其他并发症，仅1例术后6个月尚未愈合，但无坏死。

Over SARS diagnosis might exist during SARS epidemic period in Taiyuan. Positive rate of SARS patients de-escalated with the process of admission to the hospital. In some patients femoral head necrosis occurred.

太原市SARS病例存在过度诊断现象，血清抗体阳性率随着入院时间的推移逐步下降；部分确诊病例出院后合并股骨头缺血性坏死改变。

Over SARS diagnosis might exist during SARS epidemic period in Taiyuan.Positive rate of SARS patients de-escalated with the process of admission to the hospi-tal.In some patients femoral head necrosis occurred.

太原市SARS病例存在过度诊断现象，血清抗体阳性率随着入院时间的推移逐步下降；部分确诊病例出院后合并股骨头缺血性坏死改变。

As she looked at Warrington's manly face, and dark, melancholy eyes, she had settled in her mind that he must have been the victim of an unhappy attachment.

每逢看到沃林顿那刚毅的脸，那乌黑、忧郁的眼睛，她便会相信，他一定作过不幸的爱情的受害者。

Maybe they'll disappear into a pothole.

也许他们将在壶穴里消失