文档介绍：骨嗜酸性肉芽肿的CT诊断与鉴别诊断
作者:韦炜吴国忠
【摘要】目的探讨骨嗜酸性肉芽肿的CT表现特点。方法回顾性分析12例经手术病理证实的骨嗜酸性肉芽肿的CT表现。结果 11例为单发,位于下颌骨1例,颞骨2例,肩胛骨2例,锁骨1例,髂骨3例,长骨2例;1例为椎体多发。主要表现:骨质破坏,邻近骨皮质改变,骨膜反应及软组织肿块。结论 CT能较好的显示病变范围及邻近组织改变,有助于该病的诊断及鉴别诊断。
【关键词】骨嗜酸性肉芽肿
CT diagnosis and differentiation of bone eosinophilic granuloma WEI Wei, WU Guo-zhong. Department of Radiology, Anhui Provincial Hospital, Anhui Medical University. Hefei 230001, China
【Abstract】 Objective To evaluate the CT manifestations of bone eosinophilic granuloma. Methods 12 patients with bone eosinophilic granuloma verified by surgery and histopathology were analyzed retrospectively with CT. Results 11 cases had solitary lesion:1 in mandible,2 in temporal bone,2 in scapula,1 in clavicle,3 in ilium,2 in long bone;1 case had multiple lesions in vertebral main imaging findings included bone destruction,adjacent cortical bone involvement,periosteal reaction and soft tissue mass. Conclusion CT can precisely reveal the lesion extent and its surrounding soft-tissue,therefore it can be useful in the diagnosis and differentiation of this disease.
【Key words】 Bone eosinophilic granuloma;Tomography;X-puted
骨嗜酸性肉芽肿又称骨非特异性肉芽肿,属郎格罕氏细胞增生症之一。该病病因不明,发病率较低,约占骨肿瘤的1%,多发生于儿童,可累及多个部位和多个系统。本文收集2005年2月~2006年11月间在我院行CT检查并经病理证实的12例嗜酸性肉芽肿患者,着重分析其骨骼病变的CT表现。
材料与方法
一、临床资料
本组12例,男性8例,女性4例;年龄2~43岁,10岁以下4例,10~30岁6例,30例以上2例;多发1例,单发11例。主要临床表现:12例均有病变局部疼痛或压痛;9例出现局部软组织肿