【摘要】 目的 分析胸锁关节结核的X线和CT表现特征,旨在提高对本病的认识。方法 回顾性分析经病理及临床随访证实的14例胸锁关节结核患者的X线和CT影像学表现。结果 7例行X线检查,发现锁骨骨质破坏3例。14例CT检查,发现病变累及左侧5例、右侧6例、双侧3例,主要表现局部软组织肿胀10例,脓肿4例,其中包膜钙化1例,关节面骨质破坏、硬化伴关节间隙假性增宽9例,累及邻近的胸肋关节5例。肺部发现结核病灶6例。结论 CT检查在胸锁关节结核的诊断上较X线平片更具有价值。更多还原

【Abstract】 Objective To analyze X-ray and CT appearances of sternoclavicular joint tuberculosis(SCJT) so that to improve the knowledge of this disease.Methods 14 cases with SCJT proved by pathology and clinical following-up were included in the study,CT and X-ray characteristics of SCJT were retrospectively analyzed.Results 7 cases underwent radiographic examinations,destruction of clavicle was found in 3 cases.14 cases underwent CT scanning,the lesions included left(n=5),right(n=6) and bilateral sides(n=3).CT showed soft-tissue swelling(n=10),abscess(n=4) including capsule calcification in 1 cases,destruction of bone or osteosclerosis in articular surfaces with pseudo-widened of sterno-clavicular joint space(n=9),destruction of sterno-rib joint(n=5).Lung tuberculosis was found in 6 cases.Conclusion CT examination is superior to x-ray in diagnosis of SCJT.更多还原