无皮肤肥厚的特发性肥大性骨关节病（附2例报告）

无皮肤肥厚的特发性肥大性骨关节病（附２例报告）西安医科大学第二附属医院放射科陈复华特发性肥大性骨关节病是一种原因不明的症候群，又称为厚皮性骨膜病（Ｐａｃｈｙｄｅｒｍｏｐｅｅｒｉｏｓｔｏｓｉｓ），家族性特发性骨关节病，无原发病的肥大性肺性骨关节病等。本...     

问题解答

问题解答·ＴｈｅＫｅｙｓｔｏｔｈｅＰｒｏｂｌｅｍ二、什么是心源性骨关节病：（刘建农问）肥大性骨关节病可分为特发性及继发性两种，继发性肥大性骨关节病多合并肺或胸膜，心、肝、血液及纵隔等病变，故继发性肥大性骨关节病又称肺性肥大性骨关节病，由于发绀性先天性...     

皮肤骨膜肥厚症二例

皮肤骨膜肥厚症二例王彦聚，曹庆选，沈士林，富宪民皮肤骨膜肥厚症又称特发性或原发性肥大性骨关节病，较为少见。我们遇到２例，报告如下。例１男，２５岁。四肢远端对称性增粗伴膝关节疼痛。活动受限并进行性加重８年，且有心悸及多汗。体检：面部皮肤粗厚，有色素斑沉...     

肾母细胞瘤继发肥大性骨关节病1例报告

肾母细胞瘤继发肥大性骨关节病１例报告山东省莱西市人民医院放射科孙永平，杨英元胸外性肥大性骨关节病很少见，而肾母细胞瘤继发肥大性骨关节病则未见报到。现将我院经病理证实的１例报告如下：女，２岁，因发烧、贫血、双下肢疼痛５０ｄ入院。查体；中～重度贫血貌，四...     

肥大性肺性骨关节病的分布范围

放射性核素扫描对新骨形成是一个敏感的指标。它提供了更完整地显示肥大性肺性骨关节病分布范围的可能性。本文描述了48例确诊为肥大性肺性骨关节病的闪烁照相的表现,提出了关于骨受累和分布状态的一些新的经验:累及头颅(下颚和/或颌颌骨)者42%;累及肩胛骨者67%髌骨5%,锁骨33%。除肱骨外,每个长骨的近端和远端,都有同等受累的机会。肢体受累是必定存在的,而且几乎总是下肢比上肢更具活动性。受累肢体无症状者占17%;病变不规则者占15%。一般说来通过骨扫描把转移性病变和肥大性肺性骨关节病鉴别开来是无困难的,因为这两种疾病病变的常见分布状态是完全不同的。肥大性肺性骨关节病(H.P.O)的表现包括杵状指(趾)、管状骨的骨膜新骨形成,肢体疼痛,     

全身骨显像评估肺癌继发性肥大性骨关节病变

目的 本研究着重观察通过全身骨显像对原发性肺癌继发肥大性骨关节病(Hypertrophic osteoar-thropathy,HOA)的诊断,评估HOA在原发性肺癌患者中的发生率、其与肺癌的临床及病理类型的关系以及相关影像特点.方法 回顾性分析2018年1月至2019年12月于我院就诊并最终确诊的258例原发性肺癌患...     

肥大性骨关节病临床X线分析(附7例分析)

肥大性骨关节病 (hypertrophicosteoarthropathy ,HOA)病因不明 ,临床上较为少见 ,分为原发性和继发性两种。笔者现将资料完整的 7例病人结合文献讨论如下。1　材料与方法　　 7例病人 ,男 6例 ,女 1例 ,年龄 2 1～ 6 8岁 ,平均年龄 39岁。其中 2例为原发性 ;5例继发于肺部病变     

小儿鼻咽癌所致肥大性骨关节病

小儿肥大性骨关节病少见,常因慢性肺部感染所致。继发于恶性病变者罕有报道。作者报道1例无肺部转移的鼻咽癌小儿合并肥大性骨关节病。男,11岁。因颈部淋巴结肿大2个月入院,体检发现鼻咽部有肿瘤,组织学确定为未分化癌。放疗化疗后肿块部分缩小。4个月后患儿出现全身关节疼痛,查体见杵状指(趾),四肢长骨X线片见骨膜反应。多次胸片及腹部US正常。后因肝转移再次入院。小儿肥大性骨关节病多见于慢性肺部感染,还可见于先天性紫绀型心脏病,肝硬化,淋巴瘤及转移性肺肿瘤。小儿中因恶性肿瘤作为病因导致本病者仅12%,而成人可达92%。约2%的鼻咽癌可     

肺癌合并肥大性骨关节病延误诊断分析

肥大性骨关节病又称肺性骨关节病,是一种慢性肺部疾病的合并症。此病国内外文献少见报道。我院曾遇2例。例1男,34岁。半年前无明显诱因出现小腿疼痛,曾在两所医院诊断为“类风湿”,并应用抗风湿     

肺性肥大性骨关节病的临床及X线表现

肥大性骨关节病又称马-斑(marie-bamberger)综合征[1],分特发性和继发性两种.特发性有家族史,病因不明,与遗传有关.Currarino等认为此病有自愈倾向,对临床影响不大.本文重点讨论继发性肥大性骨关节病.     

Nichtneoplastische hypertrophische Osteoarthropathie auf dem Boden einer infizierten Aortenprothese Aspekte der bildgebenden Diagnostik

Secondary hypertrophic osteoarthropathy of the legs is a rare complication of arterial graft surgery. The syndrome is composed of arthralgias, clubbing of the toes and periostosis of the long bones and is usually associated with an infected aortic prosthesis. Often a CT-guided biopsy is performed in order to identify the graft as the primary focus. In addition to the lamellar periostosis demonstrable by conventional radiographs, a vast edema of the bone marrow and surrounding soft tissue is disclosed by MRI. Imaging promotes the early surgical reintervention.     

Renal clubbing and scarring in adults: a retrospective study of 110 cases

A urographic pattern of renal clubbing and scarring was found in 182 scarred kidneys of 110 adult patients. Homolateral vesicoureteric reflux was demonstrated by reliable techniques in 90/135 scarred kidneys. Urinary tract infections occurred in 75 patients. Hypertension developed in 20 patients with normal renal function and was not related to the extent of scarring. Chronic renal failure occurred in 30 patients with diffuse bilateral scarring. Four patients showed histologic changes of chronic pyelonephritis. Two hypertensive patients had a typical histologic pattern of Ask-Upmark kidney (segmental hypoplasia). Development of renal scars in adulthood was demonstrated in 2 cases.     

Renal clubbing and scarring in adults: A retrospective study of 110 cases

A urographic pattern of renal clubbing and scarring was found in 182 scarred kidneys of 110 adult patients. Homolateral vesicoureteric reflux was demonstrated by reliable techniques in 90/135 scarred kidneys. Urinary tract infections occurred in 75 patients. Hypertension developed in 20 patients with normal renal function and was not related to the extent of scarring. Chronic renal failure occurred in 30 patients with diffuse bilateral scarring. Four patients showed histologic changes of chronic pyelonephritis. Two hypertensive patients had a typical histologic pattern of Ask-Upmark kidney (segmental hypoplasia). Development of renal scars in adulthood was demonstrated in 2 cases.     

Pachydermoperiostosis: a report of two cases

Pachydermoperiostosis or primary hypertrophic osteoarthropathy is a benign genetically determined disease, manifested by finger clubbing, hypertrophic skin changes and periosteal bone formation. It is rarely reported and was for a long time misdiagnosed and confused with secondary hypertrophic osteoarthropathy. We present the imaging features in two cases and review the literature.     

The relationship between renal scarring and stone disease

The urographic findings of focal clubbing of the renal calices and associated parenchymal scarring usually prompt a diagnosis of chronic pyelonephritis, which is frequently thought to be due to ongoing or previous vesicoureteral reflux. However, we noticed that upper tract stone disease appeared to be the condition that most often preceded or accompanied caliceal clubbing and parenchymal scarring in adults. To test the hypothesis that stones were the most common cause of this renal abnormality, we analyzed the IV urograms in 1500 consecutive patients for evidence of upper tract stone disease, vesicoureteral reflux, and caliceal clubbing and scarring. Of 39 patients with clubbing and scarring, 67% had stone disease, but only 8% had a history of reflux. Of 90 patients with stone disease, 29% had clubbing and scarring. We conclude that, in adults, upper tract stone disease may be the most important etiologic factor in the production of renal caliceal clubbing and scarring.     

Aortic side branch embolization before endovascular aneurysm repair: incidence of type II endoleak

PURPOSE: To assess the feasibility of embolization of aortic side branches and its impact on the incidence of type II endoleak after endovascular aneurysm repair. MATERIALS AND METHODS: Endovascular aneurysm repair was performed in 74 patients. Aortic side branch vessels were evaluated on the preoperative angiogram and computed tomography (CT) and, where embolization of lumbar and inferior mesenteric vessels was considered technically possible, this was attempted prior to endovascular repair. Follow-up CT was used to assess the presence of type II endoleak. RESULTS: Seventy-two patients were followed up for longer than 1 month. Embolization was attempted in 25 cases, successfully in 10, with partial success in 11, and failure in four. Twenty patients with successful or partly successful preoperative embolization were discharged and followed-up. Four (20%) had demonstrable type II endoleak during follow-up, with two of these persisting at latest follow-up. Of 43 patients without previous embolization, there were 10 (23.3%) type II endoleaks during the follow-up period, four of these persisting. In cases with type II endoleak, mean sac diameter change was -0.5 mm in the cases with previous embolization and +3.1 mm without. The mean period to onset of type II endoleak was 6.9 months without, and 15.3 months with, previous embolization. CONCLUSION: Although the cohort size is below a level that would confer significance, the trend of these findings is such as to suggest a lack of influence of aortic side branch embolization on the incidence of type II endoleak during the follow-up period.     

Acro-osteolysis associated with hypertrophic pulmonary osteoarthropathy and pachydermoperiostosis

The authors report two cases of marked acro-osteolysis. One patient, a 16-year-old boy, had hypertrophic pulmonary osteoarthropathy associated with bronchiectasis, clubbing of the digits, synovitis, and osseous changes. The other patient, a 55-year-old man, had pachydermoperiostosis as well as synovial hypertrophy, clubbing of the digits, blepharitis, and a cataract. While the association of acro-osteolysis and pachydermoperiostosis has been reported before, this appears to be the first verified case of acro-osteolysis combined with hypertrophic pulmonary osteoarthropathy.     

美宝创疡贴治疗创伤性皮肤软组织缺损临床体会

目的 观察美宝创疡贴治疗创伤性皮肤软组织缺损创面的治疗效果.方法 对2010年12月～2011年2月我院收治的12例创伤性皮肤软组织缺损患者采用美宝创疡贴进行原位再生修复治疗.结果 12例患者皮肤缺损创面均完全治愈.结论 美宝创疡贴对创伤性皮肤软组织缺损疗效显著,无毒、无副作用,值得临床应用推广.     

皮肤鳞状细胞癌56例临床及病理特征分析

目的分析皮肤鳞状细胞癌患者的临床及病理特征。方法回顾性分析2014年1月至2018年1月郑州大学附属郑州中心医院皮肤科收治的56例皮肤鳞状细胞癌患者的病历资料,统计并分析其性别、职业、发病年龄、发病部位、临床及病理分型分布情况结果56例皮肤鳞状细胞癌患者中男性明显多于女性(男女比例为1.67:1),40岁及以上发病者(46例,82.14%)明显多于40岁以下发病者(10例,17.86%);其中,农民(39例,69.64%)及工人(12例,21.43%)等室外工作者的发病率明显高于室内工作者(5例,8.93%),且经常外露部位的发病率(30例,53.57%)明显高于非经常外露部位(26例,46.43%);临床分型以结节隆起型最为多见(36例,64.29%),溃疡型次之(17例,30.36%),深在浸润型较为少见(3例,5.36%);病理分型以普通型最为多见(38例,67.86%),特殊型较为少见(17例,30.36%)结论皮肤鳞状细胞癌的发生与紫外线照射强度与照射时间密切相关,其患者中男性、农民、年龄≥40岁者占比较大,且以结节隆起型、普通型患者居多。     

经皮肤一针吻合并双泪小管置管法治疗婴幼儿泪小管断裂的效果

 目的 初步探讨“经皮肤一针吻合并双泪小管置管法”治疗婴幼儿泪小管断裂手术的安全性和有效性。方法 回顾性分析9眼(9例)泪小管断裂的婴幼儿(≤3岁)应用“经皮肤一针吻合法并双泪小管置管术”的治疗效果。根据泪小管断裂的位置采用“经皮肤一针吻合法并双泪小管置管法”制定相应的手术方案,所有的患儿置管3个月后拔除人工泪管。结果 9例患儿年龄9个月~3岁,平均(1.64±0.30)岁,男5例(55.56%),女4例(44.44%)。4例行下泪小管断裂吻合并双泪小管人工泪管置入术,2例行上泪小管断裂吻合并双泪小管人工泪管置入术,3例行上下泪小管断裂吻合并双泪小管人工泪管置入术。治愈8例,好转1例,所有患儿均未出现眼睑及内眦畸形。术后3个月拔除人工泪管,随访时间为6~36个月。结论 “经皮肤一针吻合并双泪小管置管法”治疗婴幼儿泪小管断裂是安全、有效的。