Forstner R, Forstner K, Grethen C, Kainberger P
Zentralröntgeninstitut, LKA Salzburg.
Rofo. 1998 Oct;169(4):408-11. doi: 10.1055/s-2007-1015308.
To describe the pathognomic sonographic morphology of iliopectineal bursitis as a contribution to the differential diagnosis of leg swelling.
Characterization of the enlarged iliopectineal bursa by sonography (including CCDS) (n = 6) and comparison with CT (n = 4) and MRI findings (n = 1).
There were 6 enlarged iliopectineal bursas in 5 female patients which exhibited an elongated oval form and were typically located in the groin region lateral and dorsal of the vessels and in the pelvis lateral to the iliac vessels. On sonography, cystic structures with echo-free contents (n = 1) in arthrosis, homogeneous echoic contents (n = 3) in abrasive reactions after hip TEP, and with inhomogeneous, pseudo-tumorous contents (n = 2) in PCP.
Sonography enables the reliable diagnosis of an iliopectineal bursitis by means of its elongated oval from and extension from the groin region in continuity to the pelvis with medial displacement of the femoral and iliac vessels. It can thus help to avoid unnecessary operations or biopsies. In cases of doubt, use of CT or MRT enables a certain anatomical assignment.
描述髂耻滑囊炎的特征性超声形态，以辅助诊断腿部肿胀。
通过超声（包括彩色编码双功能超声）对6例扩大的髂耻滑囊进行特征描述，并与4例CT和1例MRI检查结果进行比较。
5例女性患者中有6个扩大的髂耻滑囊，呈椭圆形，通常位于腹股沟区血管外侧和后方以及骨盆内髂血管外侧。超声检查显示，在关节病中为无回声内容物的囊性结构（1例），在髋关节全髋关节置换术后磨损反应中为均匀回声内容物（3例），在佩吉特病中为不均匀的假肿瘤样内容物（2例）。
超声检查能够通过其椭圆形形态以及从腹股沟区连续延伸至骨盆且伴有股血管和髂血管向内侧移位的特征，可靠地诊断髂耻滑囊炎。因此，它有助于避免不必要的手术或活检。在诊断存疑的情况下，使用CT或MRI能够进行明确的解剖定位。
