{"id":45963,"date":"2025-01-05T05:11:09","date_gmt":"2025-01-05T05:11:09","guid":{"rendered":"https:\/\/zydq.1006ss.com\/?p=45963"},"modified":"2025-01-05T05:11:09","modified_gmt":"2025-01-05T05:11:09","slug":"%e4%b8%80%e4%be%8b%e5%a4%a7%e8%bd%ac%e5%ad%90%e7%96%bc%e7%97%9b%e7%bb%bc%e5%90%88%e5%be%81%ef%bc%88gtps%ef%bc%89%e5%8f%8a%e5%9d%90%e9%aa%a8-%e8%82%a1%e9%aa%a8%e6%92%9e%e5%87%bb%e7%bb%bc%e5%90%88","status":"publish","type":"post","link":"http:\/\/zydq.1006ss.com\/?p=45963","title":{"rendered":"\u4e00\u4f8b\u5927\u8f6c\u5b50\u75bc\u75db\u7efc\u5408\u5f81\uff08GTPS\uff09\u53ca\u5750\u9aa8-\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\uff08IFI\uff09\u7684MR\u8868\u73b0"},"content":{"rendered":"

  \u60a3\u8005\uff0c\u7537\uff0c60\u5c81\uff0c\u4e24\u4fa7\u9acb\u90e8\u75bc\u75db\uff0c\u4e34\u5e8a\u6000\u7591\u9acb\u5173\u8282\u6ed1\u819c\u708e\uff0c\u884c\u53cc\u9acb\u5173\u8282MR\u68c0\u67e5\u3002\u57fa\u672c\u4e0a\u53cc\u9acb\u5173\u8282\u6211\u4eec\u5e38\u7528\u7684\u5e8f\u5217\u5c31\u662f\u51a0\u72b6\u9762\u548c\u8f74\u4f4d\u7684T1WI\u548cT2\u538b\u8102\u626b\u63cf\u3002<\/p>\n<\/p>\n<\/p>\n

  \u4ece\u4e0a\u7ec4\u56fe\u53ef\u89c1\u53cc\u4fa7\u81c0\u4e2d\u808c\u808c\u8171\u53ca\u81c0\u5c0f\u808c\u808c\u8171\u5c40\u90e8T2\u538b\u8102\u4fe1\u53f7\u589e\u9ad8\u4f34\u6ed1\u56ca\u79ef\u6db2\uff0c\u5de6\u4fa7\u80a1\u9aa8\u5934\u5927\u8f6c\u5b50\u5904\u53ef\u89c1\u9aa8\u9ad3\u6c34\u80bf\u3002<\/p>\n

 \u4e0b\u9762\u6211\u4eec\u5c31\u4e86\u89e3\u4e00\u4e0b\u80a1\u9aa8\u5927\u8f6c\u5b50\u75bc\u75db\u7efc\u5408\u5f81 ( greater trochanteric painsyndrom\uff0cGTPS ) \u5728 1958 \u5e74\u7531 Leonard \u9996\u6b21\u63d0\u51fa\uff0c\u65e2\u5f80\u88ab\u79f0\u4e3a\u5927\u8f6c\u5b50\u6ed1\u56ca\u708e\u3002\u8fd1\u5e74\u6765\uff0c\u591a\u5b66\u79d1\u7814\u7a76\u8ba4\u4e3a\u80fd\u591f\u9020\u6210 GTPS \u7684\u539f\u56e0\u6709\u5f88\u591a\uff0c\u5305\u62ec\u81c0\u808c\u8171\u6495\u88c2\u4e0e\u808c\u8171\u75c5\uff0c\u5927\u8f6c\u5b50\u5468\u56f4\u6ed1\u56ca\u708e\u4ee5\u53ca\u5927\u8f6c\u5b50\u9aa8\u708e\u7b49\uff0c\u4e34\u5e8a\u4e0a\u5c06\u8fd9\u4e00\u7c7b\u75be\u75c5\u603b\u79f0\u4e3a GTPS\uff0c\u56e0\u6b64\u5355\u7eaf\u7528\u5927\u8f6c\u5b50\u6ed1\u56ca\u708e\u7684\u63cf\u8ff0\u5e76\u4e0d\u89c4\u8303\u3001\u51c6\u786e\u548c\u5168\u9762\u3002<\/p>\n

\u6765\u81ea\u6587\u732e\u7684\u75c5\u4f8b<\/p>\n

GTPS \u7684 MRI \u91cd\u8981\u7279\u5f81\uff1a<\/p>\n

1.\u81c0\u4e2d\u3001\u5c0f\u808c\u808c\u8171\u75c5\u53d8\uff1a\u81c0\u4e2d\u808c\u3001\u81c0\u5c0f\u808c\u808c\u8171\u75c5\u53ca\u635f\u4f24\u662f\u5f15\u8d77 GTPS \u6700\u5e38\u89c1\u539f\u56e0  \u3002\u81c0\u808c\u8171\u90e8\u5206\u6495\u88c2\u53ef\u51fa\u73b0\u808c\u8171\u5ef6\u957f\uff0c\u82e5\u808c\u8171\u5ef6\u957f\u8d85\u8fc7 2 cm \u4e14\u6bd4\u5bf9\u4fa7\u808c\u8171\u957f\uff0c\u5219\u53ef\u8bca\u65ad\u4e3a\u808c\u8171\u5ef6\u957f\u75c7\uff0c\u8d85\u8fc7\u4e00\u534a\u7684\u808c\u8171\u6495\u88c2\u8868\u73b0\u4e3a\u808c\u8171\u5ef6\u957f  \uff1b\u81c0\u4e2d\u808c\u808c\u8171\u6495\u88c2\u5e38\u4f34\u6709\u9614\u7b4b\u819c\u5f20\u808c\u7684\u80a5\u5927\uff0c\u53ef\u80fd\u4e0e\u9614\u7b4b\u819c\u5f20\u808c\u7684\u4ee3\u507f\u6709\u5173 \u3002\u81c0\u808c\u8171\u75c5\u5e38\u8868\u73b0\u4e3a\u808c\u8171\u5185\u51fa\u73b0 T 2 W \u6216\u538b\u8102\u9ad8\u4fe1\u53f7\u6216\u8171\u9798\u5468\u56f4\u79ef\u6db2\uff0c\u90e8\u5206\u6709\u5fc3\u8111\u8840\u7ba1\u3001\u6d88\u5316\u53ca\u5185\u5206\u6ccc\u7cfb\u7edf\u75be\u75c5\u6216\u957f\u671f\u670d\u7528\u67d0\u4e9b\u836f\u7269\u60a3\u8005\u5e38\u60a3\u6709\u81c0\u808c\u808c\u8171\u75c5  \u3002\u9499\u5316\u6027\u808c\u8171\u75c5\u5728\u81c0\u808c\u8171\u5185\u51fa\u73b0\u7ec6\u5fae\u7684\u9499\u5316\u53ca\u5927\u8f6c\u5b50\u5468\u56f4\u8f6f\u7ec4\u7ec7\u5185\u9499\u5316\uff0c\u5728 CT \u4e0a\u66f4\u5bb9\u6613\u53d1\u73b0\u3002GTPS \u60a3\u8005\u53ef\u4ee5\u51fa\u73b0\u81c0\u808c\u7684\u840e\u7f29\u3001\u53d8\u5c0f\u548c\u8102\u80aa\u6d78\u6da6\u3002<\/p>\n

2. \u8f6c\u5b50\u95f4\u6ed1\u56ca\u708e\uff1a\u8f6c\u5b50\u95f4\u6ed1\u56ca\u708e\u4e00\u822c\u4e0d\u4f1a\u5355\u72ec\u53d1\u751f\uff0c\u591a\u662f\u4e00\u79cd\u7ee7\u53d1\u6027\u6539\u53d8\uff0c\u4e8b\u5b9e\u4e0a\u53ea\u6709\u8fd1 8% \u7684\u75c5\u4f8b\u53d1\u751f\u8f6c\u5b50\u95f4\u6ed1\u56ca\u708e\u800c\u4e0d\u4f34\u6709\u5176\u5b83\u75c5\u53d8 \u3002\u5f53\u53d1\u751f\u8f6c\u5b50\u95f4\u6ed1\u56ca\u708e\u65f6\u8981\u6392\u9664\u4e00\u4e9b\u975e\u7279\u5f02\u6027\u611f\u67d3\u5982\u7ed3\u6838\u7b49\uff0c\u4ee5\u514d\u5ef6\u8bef\u6cbb\u7597\u3002<\/p>\n

3. \u9ac2\u80eb\u675f\u589e\u539a\uff1a\u9ac2\u80eb\u675f\u6469\u64e6\u7efc\u5408\u5f81 ( iliotibial band friction syndrome\uff0cITBFS ) \u4e3b\u8981\u8868\u73b0\u4e3a\u9ac2\u80eb\u675f\u7684\u589e\u539a\u548c\u5468\u56f4\u7684\u6e17\u51fa\uff1b\u5973\u6027\u591a\u89c1\u4e3b\u8981\u662f\u56e0\u4e3a\u9aa8\u76c6\u6269\u5f20\uff0c\u589e\u52a0\u4e86\u5927\u8f6c\u5b50\u4e0e\u9ac2\u80eb\u675f\u4e4b\u95f4\u7684\u538b\u529b\uff1b\u5bf9\u4e8e\u5e74\u9f84\u8d85\u8fc740 \u5c81\u7684\u4eba\u7fa4\uff0c\u5728\u53cc\u4fa7\u5927\u8f6c\u5b50\u5468\u56f4\u51fa\u73b0\u5bf9\u79f0\u6027 T 2 W \u9ad8\u4fe1\u53f7\uff0c\u82e5\u65e0\u76f8\u7b26\u4e34\u5e8a\u8868\u73b0\uff0c\u4e0d\u5e94\u76f2\u76ee\u8bca\u65ad\u4e3a GTPS\uff0c\u8fd9\u79cd\u8868\u73b0\u53ef\u80fd\u662f\u9000\u53d8\u8fc7\u7a0b\u7684\u4e00\u90e8\u5206\u3002<\/p>\n

4. \u5927\u8f6c\u5b50\u9aa8\u8d28\u75c5\u53d8\uff1a\u5927\u8f6c\u5b50\u7684\u635f\u4f24\u3001\u611f\u67d3\u3001\u9000\u884c\u6027\u53d8\u4ee5\u53ca\u4e00\u4e9b\u53d1\u80b2\u53d8\u5f02\u53ef\u5f15\u8d77 GTPS \u7684\u53d1\u751f\u3002\u5927\u8f6c\u5b50\u9aa8\u8d28\u53d1\u751f\u9000\u884c\u6027\u53d8\u65f6\uff0c\u7ecf\u5e38\u4f1a\u4f34\u6709\u81c0\u808c\u8171\u7684\u53d8\u6027\uff0c\u76f8\u53cd\uff0cGTPS \u4f1a\u589e\u52a0\u9acb\u5173\u8282\u53d1\u751f\u9aa8\u6027\u5173\u8282\u708e\u7684\u6982\u7387\u6216\u52a0\u5feb\u5176\u8fdb\u7a0b\uff0c\u4e24\u8005\u4e4b\u95f4\u6709\u660e\u663e\u76f8\u5173\u6027  \u3002<\/p>\n

  MRI \u5728 GTPS \u7684\u8bca\u65ad\u5e94\u7528\u4e2d\u5177\u6709\u663e\u8457\u7684\u4f18\u52bf\uff0c\u80fd\u591f\u6e05\u6670\u3001\u5168\u9762\u7684\u663e\u793a\u75c5\u53d8\u7684\u90e8\u4f4d\u3001\u6027\u8d28\u53ca\u8bc4\u4f30\u4e25\u91cd\u7a0b\u5ea6\uff0c\u5728\u4e34\u5e8a\u7684\u8bca\u7597\u8fc7\u7a0b\u4e2d\u53d1\u6325\u91cd\u8981\u4f5c\u7528\u3002\u800c\u4e14\uff2d\uff32\uff29\u88ab\u8ba4\u4e3a\u662f\u8bca\u65ad\u81c0\u90e8\u808c\u8171\u75c5\u53d8\u53ca\u4e0e\u5176\u5b83\u75be\u75c5\u9274\u522b\u7684\u6700\u4f73\u5f71\u50cf\u5b66\u68c0\u67e5\u65b9\u6cd5\u3002 \uff2d\uff32\uff29 \u5bf9\u5927\u8f6c\u5b50 \u6ed1 \u56ca \u708e \u548c \u81c0 \u90e8 \u808c \u8171 \u6495 \u88c2 \u7684 \u8bca \u65ad \u7279 \u5f02 \u5ea6 \u63a5 \u8fd1\uff11\uff10\uff10\uff05\u3002<\/p>\n

  \u5f53\u7136\u7b14\u8005\u8fd9\u4f8b\u60a3\u8005\u8fd8\u6709\u53e6\u5916\u7684\u53d1\u73b0\uff0c\u8be5\u60a3\u8005\u8fd8\u6709\u5750\u9aa8-\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\uff0c\u6211\u4eec\u7ee7\u7eed\u770b\u4e0b\u9762\u56fe\u3002<\/p>\n<\/p>\n

 \u6211\u4eec\u53ef\u4ee5\u770b\u89c1T1WI\u5de6\u4fa7\u80a1\u65b9\u808c\u840e\u7f29\u8102\u80aa\u5316\u4e86\uff0c\u5de6\u4fa7T2\u538b\u8102\u5e8f\u5217\u5728\u5750\u9aa8\u548c\u5c0f\u8f6c\u5b50\u95f4\u9699\u5185\u53ef\u89c1\u9ad8\u4fe1\u53f7\uff0c\u80a1\u65b9\u808c\u91cd\u5ea6\u6c34\u80bf\uff08\u6495\u88c2\uff09\uff0c\u53f3\u4fa7\u80a1\u65b9\u808c\u4e5f\u53ef\u89c1\u8f7b\u5ea6\u6c34\u80bf\u3002<\/p>\n

  \u5f53\u7136\u8bc4\u4f30\u5750\u9aa8-\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u8fd8\u6709\u4e24\u4e2a\u91cd\u8981\u7684\u53c2\u6570\uff1aIFS\u6307\u5750\u9aa8\u7ed3\u8282\u5916\u4fa7\u9aa8\u76ae\u8d28\u5230\u80a1\u9aa8\u5c0f\u8f6c\u5b50\u5185\u4fa7\u9aa8\u76ae\u8d28\u7684\u6700\u72ed\u7a84\u8ddd\u79bb\u3002QFS\u662f\u80a1\u65b9\u808c\u901a\u8fc7\u7684\u6700\u7a84\u95f4\u9699\uff0c\u5176\u540e\u65b9\u5185\u4fa7\u8fb9\u754c\u662f\u8158\u7ef3\u808c\u8171\u6b62\u70b9\u7684\u5916\u4e0a\u8868\u9762\uff0c\u524d\u5916\u4fa7\u8fb9\u754c\u662f\u9ac2\u8170\u808c\u8171\u6216\u80a1\u9aa8\u5c0f\u8f6c\u5b50\u7684\u540e\u5916\u9762\uff0c\u8158\u7ef3\u808c\u808c\u8171\u6b62\u70b9\u81f3\u9ac2\u8170\u808c\u808c\u8171\u6216\u80a1\u9aa8\u5c0f\u8f6c\u5b50\u6700\u5c0f\u95f4\u9699\u3002\u3002<\/p>\n<\/p>\n

  \u7b14\u8005\u4e5f\u6d4b\u91cf\u4e86\u81ea\u5df1\u8fd9\u4f8b\u60a3\u8005\uff0c\u89c1\u4e0b\u56fe\u3002\u5de6\u4fa7IFS\u4e3a11.6mm\uff0cQFS\u4e3a6.91mm\u3002\u53f3\u4fa7IFS\u4e3a15.9mm\uff0cQFS\u4e3a8.3mm\u3002<\/p>\n<\/p>\n

  \u6839\u636eSinger\u7814\u7a76\u7ed3\u679c\u62a5\u9053\uff0c\u5f53IFS\u6700\u4f73\u622a\u65ad\u503c\u4e3a15mm\u65f6\uff0c\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684\u7075\u654f\u5ea6\u548c\u7279\u5f02\u6027\u5206\u522b\u4e3a77%\u548c81 %\uff1b\u5f53QFS\u7684\u6700\u4f73\u622a\u65ad\u503c\u4e3a10mm\u65f6\uff0c\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684\u7075\u654f\u5ea6\u548c\u7279\u5f02\u6027\u5206\u522b\u4e3a79%\u548c74%\u3002\u7136\u800c\uff0c\u53e6\u6709\u5b66\u8005\u7684\u7814\u7a76 \u663e\u793a\uff0cIFS\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684\u6700\u4f73\u622a\u65ad\u503c\u4e3a13mm\uff0c\u548cQFS\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684\u6700\u4f73\u622a\u65ad\u503c\u4e3a7mm\u3002\u56fd\u5185\u6709\u7814\u7a76\u7ed3\u679c\u663e\u793a\uff0c\u5f53IFS\u4ee512.81mm\u4e3a\u6700\u4f73\u622a\u65ad\u503c\u65f6\uff0c\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684AUC\u4e3a0.970\uff0c\u7075\u654f\u5ea6\u3001\u7279\u5f02\u5ea6\u5206\u522b\u4e3a87.70%\u300195.50 %\uff1bQFS\u4ee59.51mm\u4f5c\u4e3a\u6700\u4f73\u622a\u65ad\u9608\u503c\u65f6\uff0c\u8bca\u65ad\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u3002<\/p>\n

  \u6240\u4ee5\u7531\u6b64\u53ef\u89c1\u7b14\u8005\u8fd9\u4f8b\u60a3\u8005\u7b26\u5408\u5750\u9aa8-\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u7684\u5f71\u50cf\u5b66\u8868\u73b0\u3002<\/p>\n

  \u7b14\u8005\u6c34\u5e73\u6709\u9650\uff0c\u6709\u4e0d\u6b63\u4e4b\u5904\u8bf7\u6279\u8bc4\u6307\u6b63\u3002<\/p>\n

\u53c2\u8003\u6587\u732e\uff1a<\/p>\n

[1]\u97e6\u8bda,\u9ec4\u5929\u7ec3,\u97e6\u7389\u4e50,\u7f57\u5fe0\u5f00,\u6b27\u9633\u6c38\u751f,\u5f6d\u8273\u658c,\u8c22\u5a77\u5a77,\u6210\u5b98\u8fc5. \u80a1\u9aa8\u5927\u8f6c\u5b50\u75bc\u75db\u7efc\u5408\u5f81\u7684\u4e34\u5e8a\u53caMRI\u8868\u73b0[J]. \u7f55\u5c11\u75be\u75c5\u6742\u5fd7,2023,09:90-91.<\/p>\n

[2]\u674e\u4e8c\u4eae,\u674e\u5c0f\u8389. \u78c1\u5171\u632f\u6210\u50cf\u5bf9\u80a1\u9aa8\u5927\u8f6c\u5b50\u75bc\u75db\u7efc\u5408\u5f81\u7684\u8bca\u65ad\u4ef7\u503c[J]. \u4e2d\u56fd\u9aa8\u4e0e\u5173\u8282\u6742\u5fd7,2023,08:605-608.<\/p>\n

[3]\u5434\u731b,\u66f9\u5efa\u4e66,\u674e\u6625\u5fd7,\u4efb\u534e,\u5b5f\u7389\u83b2. MRI\u6d4b\u91cf\u5750\u9aa8\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81\u53c2\u6570\u5206\u6790\u53ca\u8bca\u65ad\u4ef7\u503c\u7814\u7a76[J]. \u4e2d\u56fdCT\u548cMRI\u6742\u5fd7,2023,11:146-149.<\/p>\n

[4]\u5468\u91d1\u7406,\u90ed\u5b50\u777f,\u9ec4\u5929\u7ec3,\u7f57\u5fe0\u5f00,\u6b27\u9633\u6c38\u751f,\u5f6d\u8273\u658c,\u8c22\u5a77\u5a77,\u6210\u5b98\u8fc5. \u5750\u9aa8-\u80a1\u9aa8\u649e\u51fb\u7efc\u5408\u5f81MRI\u8868\u73b0[J]. \u4e2d\u56fdCT\u548cMRI\u6742\u5fd7,2023,09:173-175.<\/p>\n","protected":false},"excerpt":{"rendered":"

  \u60a3\u8005\uff0c\u7537\uff0c60\u5c81\uff0c\u4e24\u4fa7\u9acb\u90e8\u75bc\u75db\uff0c\u4e34\u5e8a\u6000\u7591\u9acb\u5173\u8282\u6ed1\u819c\u708e\uff0c\u884c\u53cc\u9acb\u5173\u8282M … \u7ee7\u7eed\u9605\u8bfb →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[70],"tags":[],"class_list":["post-45963","post","type-post","status-publish","format-standard","hentry","category-70"],"_links":{"self":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/45963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=45963"}],"version-history":[{"count":0,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=\/wp\/v2\/posts\/45963\/revisions"}],"wp:attachment":[{"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=45963"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=45963"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/zydq.1006ss.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=45963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}