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骨嗜酸性肉芽肿影像学诊断及误诊分析
引用本文:秦国初,周正扬,顾康康,陈咏.骨嗜酸性肉芽肿影像学诊断及误诊分析[J].中国误诊学杂志,2008,8(14):3279-3281.
作者姓名:秦国初  周正扬  顾康康  陈咏
作者单位:南京大学医学院附属鼓楼医院放射科,江苏,南京,210008
摘    要:目的:探讨骨嗜酸性肉芽肿的影像学特征。方法:回顾分析经病理证实的17例骨嗜酸性肉芽肿影像学资料,X线平片检查17例,CT检查9例,MRI检查4例。结果:长骨6例,椎体5例,颅骨3例,锁骨2例,髂骨1例,病灶表现为圆形、类圆形边界清楚的骨质破坏或不规则溶骨性骨破坏,伴骨膜反应及软组织肿块。结论:骨嗜酸性肉芽肿的各种影像学检查都有一定特征,结合临床资料可以提高诊断。

关 键 词:嗜酸细胞肉芽肿/诊断  X线透视检查  体层摄影术  X线计算机  磁共振成像  误诊  人类
文章编号:1009-6647(2008)14-3279-03
修稿时间:2007年10月12

Imaging Diagnosis of Bone Eosinophilic Granuloma and Analyses of Misdiagnosis
Institution:QIN Guo-chu,ZHOU Zheng-yang,GU Kang-kang,et al.(Department of Radiology,The Affiliated Drum Tower Hospital of NanJing University Medical College,Nanjing 210008,Jiangsu)
Abstract:Objective: To inverstigate the imaging features of eosinophilic granuloma of bone.Methods:Imaging findings,including plain film(n=17),CT scans(n=9) and MRI(n=4),in 17 patients with pathologically-confirmed bone eosinophilic granuloma were retrospectively analyzed.Results:Of 17 cases,the lesion was located in the long-bone(n=6),in vertebra(n=5),in skull(n=3),in the clavicle(n=2),and one case in the ilium,the lesion demonstrated well define bony destruction or irregular bony destruction,with periosteal reaction and soft tissuemas.Conclusion:Imaging findings of bone eosinophilic granuloma have some characteristics,associated with clinic data could suggest the diagnosis.
Keywords:Eosinophilic Granuloma/diagnosis  Fluoroscopy  Tomography  X-Ray Computed  Magnetic Resonance Imaging  Diagnostic Errors  Human
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