纤维囊性骨炎的影像诊断  

Imaging Diagnosis of Fibrocystic Osteitis

作　　者：袁杰[1] 白晶[1] 刘志强[2] 

机构地区：[1]泰安市第一人民医院CT室,山东泰安271000 [2]泰安市中心医院,山东泰安271000

出　　处：《求医问药（下半月）》2013年第4期19-20,共2页Seek Medical and Ask The Medicine

摘　　要：目的分析纤维囊性骨炎的影像学资料,以提高其影像学诊断正确率。方法对6例经手术或活检病理证实的纤维囊性骨炎病例进行影像学分析。结果所有病例经X线摄影,4例经CT检查,2例行MRI检查,其中3例为单发性,3例为多发性,病灶表现为骨质破坏,周围骨质硬化3例,均无骨膜反应,1例周围有软组织肿块,MRI检查病灶边界清楚,T1WI、T2WI呈等低信号,STIR呈等高信号。结论影像表现为单骨或多骨的骨质破坏合并普遍性骨质疏松,应考虑到本病,结合临床化验检查能提高本病的诊断正确率。@@@@Objective:To evaluate imaging manifestation characteristic of fibrous cystic osteotis to increase understanding of this disease.Metheds:6 cases with fibrous cystic osteitis confirmed by biopsy or operation were included in our study.Results:All of the cases were examined by radiography,4 cases were examined by CT,2 cases underwent MRI.3 cases were single,3 cases were multiple.Osteolytic destruction in all the cases.Osteosclerosis arround the leision were 3 cases.All the cases have none periosteal reactions,Soft tissue masses were found in 1 cases.The signal intensity was lower on T1WI,higher on T2WI and STIR in MRI. Conclusion:Osteolytic destrution of single or multiple bone with widely osteoporosis on radiology were found,the diagnosis of fibrous cystic osteotis should be made.We can improving diagnostic rate of fibrous cystic osteotis if combined with clinical and laboratory.

关 键 词：纤维囊性骨炎 影像学 

分 类 号：R681.2[医药卫生—骨科学]