CT 与平片诊断骨嗜酸性肉芽肿的评价.pdf

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· 602 · 实用放射学杂志 2002 年 3 月第 18 卷第 3 期
CT 与平片诊断骨嗜酸性肉芽肿的评价
孟菲,魏经国,魏龙晓,黄铨儒
(第四军医大学唐都医院放射科,陕西西安 710038)
摘要:目的探讨 CT与平片对骨嗜酸性肉芽肿影像诊断价值。方法回顾性分析 39 例骨嗜酸性肉芽肿患者的 X 线、CT表现,
且均经病理证实。结果单发 22 例,占 56. 4 %(22/ 39) ,多发 17 例,占 43. 6 %(17/ 39) ,单发病灶中以颅骨最多见,本组 8 例,占 36.
4 %(8/ 22) 。骨嗜酸性肉芽肿的 X 线平片及 CT表现可因病变部位及病程不同而异。结论 CT对显示骨嗜酸性肉芽肿的结构,尤其
对于钮扣样死骨和软组织肿块的发现,优于 X 线平片,但不能取代 X 线平片检查,平片仍是诊断本病首选和基本方法。
关键词:骨嗜酸性肉芽肿;X 线摄影;体层摄影,X 线计算机
中图分类号:R738. 1 文献标识码:A 文章编号:1002 - 1671(2002) 03 - 0206 - 03
The Evaluation of the Diagnosing Eosinophilic Granuloma of Bone with CT and X- ray Plain Film
MENG Fei , WEI Jing - guo , WEI Long - xiao , HUANG Quan - ru
( Department of Radiology , Tangdu Hospital , The Fourth Military Medical University , Xi’an 710038 , China)
ABSTRACT :Objective To discuss the diagnostic value of bone esoinophilic granuloma with CT and X - ray plain The X -
ray and CT manifestations of 39 patients with esoinophilic granuloma of bone confirmed by pathology were analysed Monofo
cal lesion was found in 22 cases(56. 4 %) and multifocal lesions were in 17 cases(43. 6 %) . Monofocal lesion was most seen in skull 8 cases in this
group (36. 4 %) . The X - ray and CT manifestations of bone eosinophilic granuloma were varied with the site and pathologic process of
sion CT is better than plain film in demonstrating the p