骨朗格汉斯细胞组织细胞增生症的CT及MRI表现  

CT and MRI Features of Bone Langerhans Cell Histiocytosis

作　　者：张磊[1] 黎昕[1] 朱文丰[1] 周玉祥[1] 

机构地区：[1]惠州市中心人民医院放射科,广东惠州516001

出　　处：《南昌大学学报（医学版）》2010年第2期79-81,共3页Journal of Nanchang University：Medical Sciences

摘　　要：目的探讨骨朗格汉斯细胞组织细胞增生症的CT及MRI表现,提高对其诊断水平。方法回顾性分析经手术及病理证实的42例骨朗格汉斯细胞组织细胞增生症患者的CT及MRI资料。结果 38例为单发病灶,其中颅骨病变24例,肋骨5例,颈椎3例,腰椎2例,股骨3例,锁骨1例。4例为多发病变,其中颅骨3例,骨盆1例。其CT和MRI表现主要为不同程度的骨质破坏及软组织肿胀或肿块,因部位不同而异。结论对骨朗格汉斯细胞组织细胞增生症,CT及MRI均能准确显示病变范围及邻近的组织病变,且影像学检查结合临床有助于对该病的诊断。Objective To explore the CT and MRI features of bone langerhans cell histiocytosis（BLCH）,and improve its diagnostic accuracy.Methods CT and MRI features of 42 cases with BLCH of bone confirmed by pathology and surgery were analyzed retrospectively.Results Thirty-eight cases had solitary lesion：24 in skull,5 in ribs,3 in cervical vertebrae,2 in lumbar vertebrae,3 in femur and 1 in clavicle;4 case had multiple lesions,3 cases of them were in skull and 1 case was in pelvic bones.The CT and MRI characteristics included the bone destruction and soft tissue swelling or mass,but the imaging features were varied with the diseased region and the pathologic process.Conclusion CT and MRI could manifest the extent of BLCH and pathological changes of surrounding soft tissues,and it will be helpful if the imaging combining with clinic data.

关 键 词：骨 朗格汉斯细胞组织细胞增生症 体层摄影术 X线计算机 磁共振成像 

分 类 号：R814.42[医药卫生—影像医学与核医学]