髂骨动脉瘤样骨囊肿1例

1病例介绍患者,男,43岁。以腰骶部及右髋疼痛2月,加重2周入院。查体右下腹可扪及一7 cm×5 cm质韧包块,轻压痛,边界尚清,不活动。脊柱生理性弯曲存在,无压痛及叩击痛,活动无明显异常,无右下肢放射痛,右髋关节无明显肿     

动脉瘤样骨囊肿1例

1临床资料患者,女,7岁,回。左侧髋关节疼痛半年,未重视,后左侧髋关节疼痛渐进加剧,出现破行,来院就诊。临床检查：双髋关节挤压试验,＂4＂字交叉试验及直腿抬高试验阳性,左侧压痛明显。     

颅骨动脉瘤样骨囊肿1例

1　病历报告患者 ,女 ,5 1岁。 7年前出现右耳鸣 ,听力下降 ,半月前出现双眼视物模糊 ,有时头晕、头痛 ,无恶心、呕吐 ,于 2 0 0 3年10月 10日入院。体检未发现异常 ,实验室检查正常。头颅CT平扫 :右中颅窝可见一膨胀性软组织密度灶 ,其内密度高低不均 ,可见大量散在分布的钙化影 ,边缘可见环形高密度影 ,境界欠清 ,右侧颞骨鳞部及岩部部分被破坏 ,右颞叶受压内移 ,右侧裂池受压变扁 ,中线结构左移。头颅MRI增强扫描 :右中颅窝底病灶呈不均匀增强 ,部分病灶明显增强 ,病灶周围可见完整的低信号环。术前诊断 :右中颅窝占位性病变。术中所见…     

动脉瘤样骨囊肿1例报道

患者男,49岁.10年前无明显诱因出现右膝内侧痛,为间歇性隐痛,夜间发作,白天自行缓解,自扪及右膝内测一1.5 cm×1.5 cm大小包块.10年间包块逐渐增大,疼痛逐渐加重.查体:右侧股骨下端内髁处可扪及一5.5 cm×3 cm大小包块,与骨质结合紧密,质中偏软,不易推动.实验室检查:未见异常.CT检查:右侧股骨下端内髁可见2.8 cm×1.5 cm×2.6 cm囊性透光区,内有少量骨嵴,与正常骨组织交界处有硬化带.CT诊断:右侧股骨下端内踝骨囊肿.手术所见:右股骨内髁有一5.0 cm×3.0 cm囊肿,质软,边界清楚,内容物为粉红色胶冻样物质.病理结果:动脉瘤样骨囊肿.     

颅骨动脉瘤样骨囊肿1例

1病例资料病例,男性,35岁.于10年前发现右颞部一李子大小包块,质硬不痛,周围软组织无红肿,近年来包块渐长大,时有头痛,并伴右耳听力下降,曾到当地县医院行包块切除术(具体病理不详),但包块又出现并长大明显,右耳听力丧失.为进一步治疗于2006年3月18日入住我院.     

动脉瘤样骨囊肿误诊原因分析

我院近10年来共收治动脉瘤样骨囊肿14例，现结合文献复习，对该病的临床与病理、诊断与治疗讨论如下。1·临床资料1．1性别与年龄本组男8例、女6例，年龄最小5岁，最大37岁，平均19岁。1．2发病部住胜骨上段《例，股骨上段3例，股骨下段1例、肽骨上段2例，腕头状骨1例、手第H掌骨1例、颅顶骨1例，胸椎椎体1例。1．3发病时间起病时间最短H周、最长9年、平均2年5个月。1．4临床表现患病部位有包块者10例，有疼痛13例，功能受限者8例，有外伤史6例，发生病理性骨折者2例。1·SX线现象表现为向外膨胀性骨质破坏区，破坏区内常有粗细不一排列不…     

动脉瘤样骨囊肿误诊1例

患者,女性,29岁。以＂左足背肿痛4年＂为主诉入院。患者于4年前无明显诱因出现左足背内侧轻微肿胀伴轻度隐痛,体力活动、行走不受限,未行任何诊治。于就诊1月前,左足背上述症状明显加重,疼痛呈间歇性胀痛,休息后缓解,活动后加剧,行走约1公里即感左足肿痛难忍,     

髂骨骨囊肿1例

患者,女,51岁,已婚,工人.右髂部疼痛半年余 ,既往无外伤史.骨科查体:躯干、骨盆及双下肢无异常,局部无肿胀和静脉曲张,右髂骨轻压痛及叩击痛.实验室检查:血、尿常规、肝肾功能、血沉、碱性磷酸酶等均无异常. X线片示:右侧髂骨体及髂骨翼部较大范围(11 cm×6 cm)骨质破坏,其边界较清楚,边缘不规则.近髂骨前下缘似见密度较淡薄的骨质硬化,其余边缘未见明确的骨质硬化.其内可见不典型、不规则骨嵴,未见明显膨胀性改变.     

动脉瘤样骨囊肿的影像学诊断

目的评价影像学检查对动脉瘤样骨囊肿（ABC）的诊断价值。方法对16例经手术病理证实的ABc的影像学表现进行回顾性分析。16例均拍X线平片，9例CT扫描，6例MRI扫描。结果16例ABE发生于长管状骨9例，脊柱4例，短骨及扁骨3例。13例病变呈膨胀性骨质破坏，10例病变边缘可见硬化，5例合并病理性骨折，8例病变可见分隔，11例可见典型的液一液平面，3例病变周围可见软组织异常改变，其中2例软组织肿胀，1例软组织肿块，12例病变内密度和（或）信号显示不均匀。结论动脉瘤样骨囊肿具有一定的影像学特征，CT和MRI对ABC诊断较平片有优势，综合影像学检查能提高ABC诊断符合率。     

Arterial embolization of primary sacral aneurysmal bone cyst

Aneurysmal bone cyst （ABC） is a rare and benign disease that demonstrates active biological behavior,can promptly expand,and exhibits an invasive or destructive capability.1 Currently,the major therapy for ABC is complete curettage of the lesion.1,2 However,the therapy for sacral ABC has risks such as severe bleeding and nerve root damage.2 Arterial embolization is used to treat large sacral giant cell tumors and ABCs and can promptly relieve pain,reduce lesion volume,and promote osteogenesis.3     

颌骨动脉瘤样骨囊肿的影像学诊断

目的:探讨颌骨动脉瘤样骨囊肿(ABC)的影像学特点。方法:回顾性分析11例经病理确诊的ABC的影像学表现,11例行X摄片,8例行CT检查。结果:10例ABC发生在下颌骨,其中下颌骨体部5例,角部及升支部5例。1例位于上颌骨。ABC平片在不同时期有不同的表现,CT平扫可见蜂房样低密度影或特征性的液平面。结论:临床上ABC的误诊率较高,单纯X光平片对本病的确诊存在很大不足,CT对ABC具有较高的诊断价值。     

巨大髋臼骨1例

髋臼骨又称髋臼上缘骨、髋臼小骨．是一种先大性骨发育异常。我们得见1例巨大髋臼骨，表现特殊，现报道如下：     

Clear cell chondrosarcoma with secondary aneurysmal bone cyst changes

Clear cell chondrosarcoma is a rare cartilaginous tumour of low-grade malignancy. Although it has a characteristic histological appearance, its radiological features and clinical presentation often mimic a benign lesion. Herein, we describe the case of a patient with a clear cell chondrosarcoma of the right proximal femur that had an atypical appearance of chronic avascular necrosis on initial plain radiographs, which made preoperative diagnosis a challenge. In addition, the tumour also had extensive areas of aneurysmal bone cyst-like changes, which is not only a rare histologic phenomenon in clear cell chondrosarcoma, but also a confounding factor in the interpretation of the radiologic findings.     

Unusual bleeding of aneurysmal bone cyst in the upper thoracic spine

Aneurysmal bone cyst (ABC) is a benign bone lesion and commonly affects young adolescents. It usually grows rapidly with hypervascularity. In the spine, it can cause extensive bone destruction and compress neural structures with eventual vertebral collapse. Operative management of such a lesion may be complicated by profuse hemorrhage. Herein, we report a 15-year-old boy who had an acute exacerbation of spinal cord compression because of an ABC in the upper thoracic region. With a two-staged operation that complicating with profuse intraoperative bleeding, decompressive curettage and stabilization of the vertebral column were assured. However, abrupt neurologic deterioration occurred because of rebleeding with spinal cord compression 1 month postoperatively. Secondary decompressive curettage and following local radiotherapy were undertaken to cure the disease. Neurological recovery and healing of spinal ABC could be expected if the lining of a cyst had been totally removed. At the 18-month follow-up examination, he was neurologically intact and without any backache, leg pain or gait disturbance.     

颅内巨大先天性蛛网膜囊肿1例

1 临床资料患者,男,14岁,因低热伴鼻塞、流脓鼻涕2周就诊.病程中否认头痛、头晕.头颅CT扫描发现颅内巨大低密度阴影.查体:神志清楚,智力正常,头颅不对称,左＞右,四肢肌力V级,感觉正常,未引出病理反射.头颅CT冠状位检查:左侧额颞顶部颅板下可见广泛脑脊液样低密度阴影,CT值16 Hu,脑组织明显受压,中线结构明显向右移位.     

脾表皮样囊肿一例报道

文章报道1例脾表皮样囊肿病例.患者以中上腹不适为主要临床表现,B超、CT等检查示脾脏多发囊肿,行脾切除术,术后经病理学检查诊断为脾表皮样囊肿.术后患者恢复良好.结合文献,对该病例的相关问题进行探讨.     

膝关节囊滑膜血管瘤1例

1 病例介绍 男患,16岁,9个月前无明显诱因发现右膝关节内侧有一肿物,曾口服药物治疗无效。检查发现右     

脾表皮样囊肿一例报道

文章报道1例脾表皮样囊肿病例。患者以中上腹不适为主要临床表现,B超、CT等检查示脾脏多发囊肿,行脾切除术,术后经病理学检查诊断为脾表皮样囊肿。术后患者恢复良好。结合文献,对该病例的相关问题进行探讨。