颅骨嗜酸性肉芽肿X线诊断价值

目的探讨颅骨嗜酸性肉芽肿的X线诊断与鉴别诊断.方法回顾分析经病理证实31例颅骨嗜酸性肉芽肿的X线表现.结果31例患者共发现32个病灶,其中额骨14个;顶骨个12个;颞骨3个;枕骨3个.主要X线表现为边界清楚的溶骨性破坏;"双边征"或"斜边征";"钮扣样死骨"及软组织肿块.结论X线平片对颅骨嗜酸性肉芽肿具有诊断意义,仍为诊断本病的首选和基本方法.

Diagnostic value of X-ray for eosinophilic granuloma of skull

Objective To explore X-ray diagnosis and differential diagnosis of eosinophilic granuloma of skull. Methods X-ray findings of eosinophilic granuloma of skull proved by pathology among 31 cases were analyzed. Results 32 lesions of 31 cases were found. There were 14 lesions in frontal bone, 12 in parietal bone, 3 in temporal bone, and 3 in occipital bone. The lesion demonstrated well-defined ste-olysis, double-contour or beveledeage appearance, button sequestrum and soft tissue mass. Conclusion Eosinophilic granuloma of skull can be diagnosed conecdy by X-ray plain and it is still the primary method in diagnosis of eosinophilic granuloma of skull.