Gaucher A, Colomb J N, Naoun A, Faure G, Netter P
J Rheumatol. 1979 Sep-Oct;6(5):574-83.
We present topographic and quantitative studies of 99m Tc-diphosphonate bone scans from 46 patients and 25 control subjects in which we found transient osteoporosis of the hip (TOH) (12 cases--2 bilateral), early aseptic osteonecrosis of the femoral head (19 cases--2 bilateral), early coxitis (11 cases), and stress fracture of the femoral neck (4 cases). Active TOH was characterized by intense, homogeneous increased uptake of the entire femoral head, extending to the acetabulum and the neck, and sometimes to the shaft. The scintigram of TOH differed greatly from that in the other hip disorders studied. Bone scintigraphy can help to diagnose the cause of pain in a hip before definite roentgenographic signs appear.
我们对46例患者和25例对照者的99m锝二膦酸盐骨扫描进行了局部解剖和定量研究，发现其中有髋关节一过性骨质疏松（TOH）（12例，2例为双侧）、早期股骨头无菌性坏死（19例，2例为双侧）、早期髋关节炎（11例）以及股骨颈应力性骨折（4例）。活动期TOH的特征是整个股骨头放射性摄取强烈、均匀增加，延伸至髋臼和股骨颈，有时还会延伸至股骨干。TOH的闪烁扫描图与所研究的其他髋关节疾病有很大不同。骨闪烁扫描在明确的X线征象出现之前有助于诊断髋关节疼痛的原因。
