Brodie’S骨脓肿的影像诊断与鉴别诊断  

Imaging Diagnosis and Differential Diagnosis of Brodie＇s Abscess

作　　者：程瑞新[1] 詹松华[1] 陈瑶[2] 唐敖荣[3] 

机构地区：[1]上海中医药大学附属曙光医院放射科,上海200021 [2]上海中医药大学附属岳阳医院放射科 [3]上海交通大学附属瑞金医院放射科

出　　处：《实用放射学杂志》2009年第8期1152-1154,共3页Journal of Practical Radiology

摘　　要：目的研究Brodie’s骨脓肿的影像学表现特征。方法分析17例经手术病理证实的Brodie’s骨脓肿的X线、CT和MRI影像学表现。结果17例中单发15例，多发2例。本组12例表现典型的Brodie’S骨脓肿为干骺端小圆形或椭圆形骨破坏区，周边见致密硬化环，无骨膜反应。5例表现不典型，病灶可见硬化环不连续，骨破坏区密度混杂，骨膜反应及软组织肿胀。本组5例表现不典型病例误漏诊。结论Brodie’s骨脓肿少见，影像学表现多样，表现不典型的骨脓肿容易误诊。Objective To study the imaging characteristics of Brodie＇s abscess. Methods X-ray,CT and MRI features of Brodie＇s abscess confirmed by operation and pathology were analysed. Results The Brodie＇s bone abscesses were solitary in 15 eases and multiple in 2 cases. The imaging features of the lesions were typical in 12 cases,which appeared as round or oval bony destruction with hyperdense sclerotic circle along the lesions and there was no sub-periosteal reaction. The lesions in 5 cases showed atypical imaging findings including contiunous bony sclerotic circle, mixed density inside the lesions, sub-periosteal reaction and soft tussue swelling,these 5 cases were misdiagnosed by imaging before operations. Conclusion Brodie＇s abscess was a rare lesions,its imaging findings are varied,the lesions with atypical imaging features are easily misdiagnosed.

关 键 词：Brodie 骨脓肿 鉴别诊断 影像诊断 影像学表现 骨膜反应 软组织肿胀 不典型病例 

分 类 号：R681[医药卫生—骨科学] R445[医药卫生—外科学]