Southwick角和Klein线在股骨头骺滑脱诊断中的作用Role of Southwick angle and Klein line in the diagnosis of slipped capital femoral epiphysis
徐易京;傅刚;张建立;朱振华;郭源;
摘要(Abstract):
[目的]探讨Southwick角和Klein线在股骨头骺滑脱诊断中的作用。[方法]回顾性分析1995年8月~2006年4月,本科所收治并获得随访的SCFE病例42例,其中男30例,女12例;平均年龄10.4岁。分析患儿的标准前后位双髋正位和双髋蛙式侧位片。在正位X线片上观察股骨头骺板是否增宽和不规则,测量Southwick角,绘制Klein线。在侧位X线片上测量外侧骺干角,绘制Klein线。[结果]所有患者均出现股骨头骺板增宽和不规则。Southwick角随着滑脱程度加重而减少。正侧位Klein线阳性率均随着严重程度加重而增加,但是正位Klein线在轻中度滑脱组中阳性率不高,侧位Klein线在全部组中阳性率均高。[结论]Southwick角和Klein线在SCFE的诊断中具有重要作用,尤其是要重视髋关节侧位片在诊断中的作用。
关键词(KeyWords): 股骨头骺滑脱;X线诊断;Southwick角;Klein线
基金项目(Foundation):
作者(Author): 徐易京;傅刚;张建立;朱振华;郭源;
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参考文献(References):
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