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目的讨论股骨颈疝窝的影像学表现及诊断。方法回顾性分析5例经过X线平片及CT诊断的股骨颈疝窝的影像学表现。结果5例股骨颈疝窝均为单侧单发病灶,4例男性,1例女性,X线平片表现为股骨头基底和股骨颈前外侧圆形或椭圆形透亮区,多数有硬化坏。CT表现为伴锐利的薄层硬化缘的骨质缺损区,并在病灶或上下相邻层面上的前方皮质显示与病灶相通的局部裂隙样缺损。结论据特定的部位,X线平片和CT的特征性表现一般可作出明确诊断。
Objective To discuss the imaging findings and diagnosis of femoral neck hernia. Methods The imaging findings of 5 cases of femoral neck hernia treated by X-ray and CT were analyzed retrospectively. Results 5 cases of single herniated femoral neck hernia were single lesions, 4 cases of male and 1 female, X-ray showed femoral head base and anterior lateral femoral neck or oval translucent area, the majority of sclerosis. CT showed a thin sclerosis with sharp edge of the bone defect area, and in the lesion or the upper and lower adjacent layers of the anterior cortex showed focal connectivity with the local fissure-like defects. Conclusion According to the specific site, the typical manifestations of X-ray and CT can make a definite diagnosis.