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儿童长骨嗜酸性肉芽肿的影像诊断

Investigation on the Imaging Features of Eosinophilic Granuloma of Long Bone in Children

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【作者】 郑加贺马洁韬牛之彬刘东风

【Author】 Zheng Jiahe, Ma Jietao, Niu Zhibin, Liu Dongfeng (Department of Radiology, the Second Affilicated Hospital, China Medical University, Shenyang 110004)

【机构】 中国医科大学第二临床学院放射科沈阳军区202医院放射科沈阳军区202医院小儿骨科中国医科大学第二临床学院放射科 110004沈阳110003110004沈阳

【摘要】 目的 :探讨儿童长骨嗜酸性肉芽肿的影像表现及鉴别诊断。材料和方法 :回顾性分析 14例经病理证实的儿童长骨嗜酸性肉芽肿的X线平片、CT及MRI表现。结果 :14例患者共发现 16个病灶 ,其中股骨 10个 ,胫骨 4个 ,腓骨及桡骨各 1个。主要表现为边界清楚的溶骨性破坏、层状骨膜反应及软组织肿块。结论 :X线平片是儿童长骨嗜酸性肉芽肿的诊断基础 ,结合CT、MRI能够提高诊断及鉴别诊断水平

【Abstract】 Purpose:To explore imaging diagnosis and differential diagnosis of eosinophilic granuloma of long bone in children. Materials and Methods: Plain flim, CT and MRI manifestations of 14 cases with eosinophilic granuloma of long bone proved by surgery or histopathology were restrospectively analysed. Results: 16 lesions of 14cases were found. 10 of them located in femur, 4 in tibia, 1 in fibula and 1 in radius.The lesions demonstrated well defined osteolysis, lamellar periosteal reaction and soft tissue mass. Conclusion: X ray film is the main method for the diagnosis of children eosinophilic granuloma.The diagnositic and differential diagnostic capacity may be improved with CT and MRI.

【关键词】 儿童长骨嗜酸性肉芽肿X线平片CTMRI
【Key words】 childrenlong boneeosinophilic granulomaimaging diagnosis
  • 【文献出处】 中国医学影像学杂志 ,Chinese Journal of Medical Imaging , 编辑部邮箱 ,2002年03期
  • 【分类号】R816.92
  • 【被引频次】19
  • 【下载频次】230
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