弥漫性特发性骨质增生症500例的影像学诊断分析  

Imagiological diagnosis of diffuse idiopathic skeletal hyperostosis:analysis of 500 cases

作　　者：袁振州[1] 袁丹军[1] 李兰贵[1] 

机构地区：[1]江苏大学附属人民医院影像科,江苏镇江212002

出　　处：《现代医药卫生》2011年第13期1929-1931,共3页Journal of Modern Medicine & Health

摘　　要：目的:探讨弥漫性特发性骨质增生症的X线特点,进一步提高对弥漫性特发性骨质增生症的诊断水平。方法:随机抽取我院3年间年龄在40岁以上(含40岁)患者的颈椎、胸椎或腰椎正侧位片及四肢关节片1万余张,其中符合弥漫性特发性骨质增生症X线表现的患者500例,重点分析其发生部位、特点。结果:脊柱病变部位以下部胸椎7～12为多见,其中胸椎9、10椎体受累最多见,占受累椎体总数的32%,病变以连续4个椎体受累最多,137例,占脊柱病例的27%。有1例同时累及脊柱及双侧肘关节。结论:弥漫性特发性骨质增生症是一种主要累及脊柱,以韧带、肌腱钙化、骨化为特征的骨病,工作中并不少见,诊断主要依靠常规X线摄片检查。Objective：To discus the X-ray features of diffuse idiopathic skeletal hyperostosis（DISH） for further improving the diagnostic level of DISH.Methods：More than 10000 X-ray films taken respectively in anteroposterior and lateral positions of cervical,thoracic or lumbar vertebrae and limb joints were randomly selected from the patients aged over 40 years（including 40-year-old） during 2007-2009.Of them,500 cases of X-ray manifestations in accordance with that of DISH were collected.The sites and characteristics of these lesions were selectively analysed.Results：The lesions to spine occurred largely in the lower part of thoracic vertebrae（T7～T12）.of which T9-T10 vertebrae were most often involved,accounting for 32% of the total of the involved vertebrae.137 cases were found with four involved continuous vertebrae,which was most common,accounting for 27% of the 500 spine cases with the X-ray features of DISH.There was 1 case in which the spine and double elbows were both involved.Conclusion：DISH is a bone disease which mainly affects spine and is characterized by calcification or ossification of ligament and tendon.It is not rare in clinic.Its diagnosis mainly depends on the routine X-ray examination.

关 键 词：弥漫性 骨质增生症 X线诊断分析 

分 类 号：R445[医药卫生—影像医学与核医学]