摘要
目的：比较不典型骨髓炎X线、CT和MR影像显示差异。方法：对26例不典型骨髓炎X线、CT和MR征象与手术病理结果对照并由双盲法分析确认。结果：26例中急性骨髓炎8例，慢性骨髓炎12例，骨脓肿和硬化性骨髓炎各3例，术前诊断正确仅20例，3例误诊为恶性骨肿瘤，3例误诊为良性骨肿瘤或肿瘤样病变。结论：全面分析不典型骨髓炎的X线、CT和MR影像特点及临床表现，了解病变的病理特征及演变趋势，对本病的诊断和鉴别诊断有很大帮助。
Abstract
Objective: To compare radiography, CT and MR in the detection of clinical atypical pyogenic osteomyelitis. Methods: Twenty-six cases of atypical pyogenic osteomyelitis were imaged with radiography, CT and MRI. The imaging signs were analysed and diagnosed by double blind method compared with the pathologic findings. Results: Of the 26 cases, there were 8 cases with acute osteomyelitis, 12 cases with chronic osteomyelitis and 3 cases with Brodie’s abscess and chronic sclerosing osteomyelitis, respectively. Radiography, CT and MR made a correct diagnosis in 20 cases, 3 cases were misdiagnosed as malignant bone tumors, and other 3 cases as benign bone tumors and tumor like lesions. Conclusion: It is very helpful to diagnose and differentiate atypical pyogenic osteomyelitis by analyzing X-ray, CT and MR features, understanding pathologic features and development tendency of the lesion.
关键词
骨髓炎 /
体层摄影术 /
螺旋计算机 /
磁共振成像
Key words
Osteomyelitis /
Tomography /
spiral computed /
Magnetic resonance imaging
白荣杰;程晓光;顾 翔;冯素臣;屈 辉.
不典型骨髓炎的X线、CT和MR影像比较分析[J]. 中国临床医学影像杂志. 2008, 19(7): 488-492
BAI Rong-jie;CHENG Xiao-guang;GU Xiang;FENG Su-chen;QU Hui.
Comparison of radiography, CT and MR imaging in the detection of clinical atypical pyogenic osteomyelitis[J]. Journal of China Clinic Medical Imaging. 2008, 19(7): 488-492
中图分类号：
Ｒ681.2
Ｒ814.42
R445.2
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