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肩关节结核的分型和X线诊断

TUBERCULOSIS OF SHOULDER JOINT: CLASSIFICATION AND ITS RADIOLOGICAL DIAGNOSIS

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【作者】 王玉凯周文学王得玺孟繁禄唐桂长

【Author】 Wang Yukai, Zhou Wn Xue, Wang Dexi, Meng Fanlu, Tang Gueichang (Dept.Radiography,Taishan Medical College)

【机构】 泰山医学院放射系上海第二军医大学附属长征医院河南洛阳正骨医院山东医学影像学研究所山东省济宁市第一人民医院

【摘要】 对40例肩关节结核进行了分型及X线诊断的探讨,根据临床表现、手术所见、病理及X线表现的不同可分为干性及渗出两型。干性型11例,特点是有骨破坏而无渗出及软组织肿胀。渗出型29例,多于干性型。主要表现为肱骨头及关节盂的骨质破坏吸收,肩部及腋窝软组织肿胀,患肢中度骨质疏松及关节间隙的变窄、宽窄不匀及消失,并对两型的发病机制进行了探讨。

【Abstract】 Study of classification and radiological diagnosis of tuberculosis of shoulder uoint is presented in this paper. According to the differences in clinical features, operation findings, pathologi- cal and rad iological manifestations, caseous type, characterized by destruction of bone without exudation or soft tissue swelling; 29 cases of exudative type,showing mainly destruction of one of humerus head and articular dise,swlling of soft tissue in shoulder and armpit, The wounded limb presented with moderate osleoporosis and arthro- stenosis, the joint space disappeara,The pathogensis of the two ty- pes are also discussep.

  • 【文献出处】 泰山医学院学报 ,Journal of Taishan Medical College , 编辑部邮箱 ,1990年01期
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