【摘要】 目的 探讨CT在诊断髋关节病变中的价值。 方法 对304例患者采用双侧髋关节对照常规位CT扫描，层厚5mm，间距5mm。 结果 股骨头缺血性坏死76例，髋部骨折64例，髋关节骨质增生48例，髋关节炎性改变38例，转移瘤54例，强直性脊柱炎伴髋关节改变24例。 结论 CT分辨率高，利于病变早期诊断，在鉴别诊断、了解病情的发展和疗效观察方面有很大优越性。

    关键词 髋关节 诊断 计算机断层扫描

    The analysis of image to pathological change of304 patients on femoral articulation

    Cheng Guoqin，Wan Xiangrong

    Department of Radiology，The97th Hospital，PLA，Xuzhou221004.

    【Abstract】 Objective To study the value of diagnosing pathological changes on femoral articulation by CT image.Methods Using standard CT to scan both sides of femoral articulation，thickness of layer:5mm，distance be-tween layers:5mm.Results 76patients were diagnosed as ischemic necrosis of femur;64patients as fracture of hip part;48patients as hyperosteogeny of femoral articulation;38patients as infection of hip joint;54patients as metastatic tumor;24patients as spondylitis ankylopoiteica with the change of femoral articulation.Conclusion A high resolution CT image is good to diagnosis for those patients with early stage of pathological changes and development.It helps a lot to observe the processing of curing the illness. ......