Cronin Carmel G, Lohan Derek G, Meehan Conor P, Delappe Eithne, McLoughlin Raymond, O'Sullivan Gerard J, McCarthy Peter
Department of Radiology, University College Hospital, Galway, Ireland.
Emerg Radiol. 2008 Sep;15(5):295-310. doi: 10.1007/s10140-008-0703-8. Epub 2008 Jun 12.
The apparent incidence of iliopsoas muscle abnormalities is currently rapidly increasing secondary to the increased number of immuno-compromised patients, malignancies, chemotherapy, immunotherapy, multi-systemic disease and the wide availability of cross-sectional imaging. Disease of the iliopsoas compartment can present with non-specific or indolent clinical features, particularly where normal immune responses are attenuated. Delay in diagnosis can lead to inappropriate initial treatment and, in some cases, serious complications. Wider availability and application of modern cross-sectional imaging offers rapid, confident diagnosis. An understanding of iliopsoas compartment anatomy and pathways of disease spread are essential to recognising these clinically important conditions. We review the anatomy, clinical presentation and common imaging findings of iliopsoas disease as it presents through the emergency room.
由于免疫功能低下患者数量增加、恶性肿瘤、化疗、免疫治疗、多系统疾病以及横断面成像的广泛应用，髂腰肌异常的表观发病率目前正在迅速上升。髂腰肌间隙疾病可能表现为非特异性或隐匿性临床特征，尤其是在正常免疫反应减弱的情况下。诊断延迟可能导致初始治疗不当，在某些情况下还会引发严重并发症。现代横断面成像的更广泛应用和应用提供了快速、可靠的诊断。了解髂腰肌间隙解剖结构和疾病传播途径对于识别这些具有临床重要性的病症至关重要。我们回顾了通过急诊室就诊的髂腰肌疾病的解剖结构、临床表现和常见影像学表现。
