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目的:分析总结CT在血友病患者髂腰肌出血中的表现与临床意义。方法:选取我院19例血友病髂腰肌出血患者,对该患者进行CT扫描,观察患者的CT表现与CT特征,包括血肿部位,大小,形状,密度,与周围组织的关系等进行回顾性分析。结果:所有患者可见团块状、结节状血肿影,其中急性期血肿11个,呈高密度影,亚急性期血肿7个,呈稍高密度影,慢性期血肿1个,呈稍低密度影。CT值约16-65Hu不等。所有患者中左侧髂腰肌出血12例,右边髂腰肌出血7例。9例髂腰肌出血侧腰大肌正常形态完全消失。结论:使用CT扫描可有效的确诊患者的血友病髂腰肌出血症状,同时可为临床医师提供较为准确的诊断信息。
Objective: To analyze the clinical manifestations and clinical significance of CT in hemophilia iliopsoas hemorrhage. Methods: Nineteen patients with hemophilia iliopsoas hemorrhage in our hospital were selected for CT scan. The CT features and CT features were observed including the location, size, shape, density, and the relationship with the surrounding tissues Sexual analysis. Results: All patients showed massive, nodular hematoma, of which 11 were acute hematoma, showing high density, subacute hematoma 7, showing a slightly high density, a chronic hematoma, showed a slightly lower density shadow. CT value of about 16-65Hu range. All patients in the left iliopsoas bleeding in 12 cases, right iliopsoas hemorrhage in 7 cases. Nine cases of iliopsoas hemispheric muscle patellofemoral normal form completely disappeared. Conclusion: CT scan can effectively diagnose hemophilia iliopsoas hemorrhage in patients with symptoms, and clinicians can provide more accurate diagnostic information.