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Brodie’s骨脓肿的影像诊断与鉴别诊断

Imaging Diagnosis and Differential Diagnosis of Brodie’s Abscess

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【作者】 程瑞新詹松华陈瑶唐敖荣

【Author】 CHENG Rui-xin;ZHAN Song-hua;CHEN Yao;TANG Ao-rong;Department of Radiology,Shuguang Hospital,Shanghai Traditional Chinese Medical University;

【机构】 上海中医药大学附属曙光医院放射科上海中医药大学附属岳阳医院放射科上海交通大学附属瑞金医院放射科

【摘要】 目的 研究Brodie’s骨脓肿的影像学表现特征。方法 分析17例经手术病理证实的Brodie’s骨脓肿的X线、CT和MRI影像学表现。结果 17例中单发15例,多发2例。本组12例表现典型的Brodie’s骨脓肿为干骺端小圆形或椭圆形骨破坏区,周边见致密硬化环,无骨膜反应。5例表现不典型,病灶可见硬化环不连续,骨破坏区密度混杂,骨膜反应及软组织肿胀。本组5例表现不典型病例误漏诊。结论 Brodie’s骨脓肿少见,影像学表现多样,表现不典型的骨脓肿容易误诊。

【Abstract】 Objective To study the imaging characteristics of Brodie’ s abscess.Methods X-ray,CT and MRI features of Brodie’ s abscess confirmed by operation and pathology were analysed.Results The Brodie s bone abscesses were solitary in 15 cases and multiple in 2 cases.The imaging features of the lesions were typical in 12 cases,which appeared as round or oval bony destruction with hyperdense sclerotic circle along the lesions and there was no sub-periosteal reaction.The lesions in 5 cases showed atypical imaging findings including contiunous bony sclerotic circle,mixed density inside the lesions,sub-periosteal reaction and soft tussue swelling,these 5 cases were misdiagnosed by imaging before operations.Conclusion Brodie’ s abscess was a rare lesions,its imaging findings are varied,the lesions with atypical imaging features are easily misdiagnosed.

  • 【文献出处】 实用放射学杂志 ,Journal of Practical Radiology , 编辑部邮箱 ,2009年08期
  • 【分类号】R816.8;R681.2
  • 【下载频次】16
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