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闪烁扫描术和骨闪烁测定法在早期诊断莱-卡-佩三氏病中的价值(作者译)

[The value of scintigraphy and osteoscintimetry for the early detection of legg-calvé-perthes disease (author's transl)].

作者信息

Fotter R, Fueger G F, Ritter G

出版信息

Rontgenblatter. 1979 Feb;32(2):79-86.

PMID:419351
Abstract

Scintigraphy and the stimultaneously effected osteoscintimetry of the pelvis and of both hip joints offers the possibility of a safe early diagnosis of Perthes' disease directly after manifestation of the clinical symptoms, two months before the roentgenologically identifiable, discrete changes of stage I have occurred, or four months before the clear roentgenological visualisation of the disease (stage II). Moreover, scintigraphy enables detection of the time at which restitution or revascularisation of the necrotic bone of the epiphysis of the head of the femur sets in, and to draw further conclusions from the scintigraphic and scintimetric pattern of results, on the prognosis and further course (with time) of Perthes' disease.

摘要

骨盆及双髋关节的闪烁扫描术以及同时进行的骨闪烁测定法,能够在临床症状出现后直接对佩特兹病进行安全的早期诊断,此时距离X线可识别的I期离散性变化出现还有两个月,或者距离疾病的清晰X线显影(II期)还有四个月。此外,闪烁扫描术能够检测出股骨头骨骺坏死骨恢复或再血管化开始的时间,并根据闪烁扫描和闪烁测定的结果模式,对佩特兹病的预后和进一步病程(随时间变化)得出进一步结论。

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