骨嗜酸性细胞肉芽肿的X 线、CT 诊断.pdf

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M M I BIMONTHLY Vol 10 No 4 Aug 2001 — 161 —
骨嗜酸性细胞肉芽肿的 X 线、CT 诊断
广东省 1 7 7 医院放射科(广州 510317) 吴政光
北京大学深圳医院影像科王成林
深圳市罗湖区人民医院放射科董汉彬
【摘要】目的: 讨论骨嗜酸性肉芽肿的 X 线、CT表现。材料与方法: 回顾分析经病理证实的 11 例骨嗜酸性肉芽肿的 X
线、CT表现。结果: 本病基本 X 线表现有: (1) 骨质破坏; (2) 骨皮质改变; (3) 病理性骨折; (4) 骨膜增生; (5) 软组织肿
块, CT对病变范围、皮质、骨膜、软组织改变、死骨及邻近结构受累与否显示更清楚。结论: X 线平片是诊断本病的首选方
法, CT能进一步显示病变的病理解剖结构, 对本病的诊断价值更大。
关键词: 嗜酸性肉芽肿 X 线摄影 X 线计算机体层摄影
The X- ray CT Diagnosis of Eosinophilic Granuloma of Bone
Wu Zhengguang Wang Chenlin Dong Hanbin
Department of Radiology 177 Hospital of Guangdong , guangzhou 510317
【Abstract】 Purpose : To discuss the X - ray CT findings of bone eosinophilic granuloma. Materails and Methods : The X - ray and
CT appearances of 11 patients with eosinophilic granuloma of bone confirmed by pathology were reviewed retrospectively. Results : The basic X -
ray manifestations of eosinophilic granuloma of bone were : (1) the destruction of bone ; (2) change of cortex ; (3) pathological fracture ; (4)
Periosteal reaction ; (5) mass of soft tissue. CT could clearly demonstrate the extent of bone involved and change of neighbourhood structure.
Conclusion : Routine radiography is first methods in diagnosis of eosinophilic granuloma of bone. CT can reveal advanced the pathologic and
anatomic structure of bone. better value in the diagnosis.
Key words : Eosinophilic granuloma Radiogr