Resnik C S, Ammann A M, Walsh J W
Department of Diagnostic Radiology, University of Maryland Medical System/Hospital, Baltimore 21201.
Skeletal Radiol. 1987;16(7):513-6. doi: 10.1007/BF00351264.
Abnormalities on computed tomography (CT) are described in 12 adults in whom septic arthritis of the hip was diagnosed. Presenting symptoms varied, as did CT findings. Soft tissue abnormalities ranged from intra-articular effusion to large abscess formation, and bone changes ranged from minimal erosion of articular surfaces to gross destruction of the proximal femur and acetabulum. CT can be helpful in the evaluation of septic arthritis of the hip because of its superior demonstration of soft tissue detail. An accurate diagnosis can be established in unsuspected cases and can be confirmed when clinical indicators are vague.
在12例被诊断为髋关节化脓性关节炎的成人患者中，计算机断层扫描（CT）显示出异常情况。其呈现的症状各不相同，CT表现亦是如此。软组织异常范围从关节内积液到巨大脓肿形成，而骨质改变则从关节面的轻微侵蚀到股骨近端和髋臼的严重破坏。由于CT能更清晰地显示软组织细节，因此对评估髋关节化脓性关节炎很有帮助。在未被怀疑的病例中也能做出准确诊断，且当临床指标不明确时可予以证实。
