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肘关节滑膜骨软骨瘤病的影像诊断分析 程小杰1，姚庆东1，柳海晓1，何家维1，张呈兵1，彭磊*1，2 (1.温州医学院附属第二医院；浙江 温州 325000；2.海南医学院附属医院,海南 海口 570100） 【摘要】 目的 探讨肘关节滑膜骨软骨瘤病的影像学特征。 方法 回顾性分析14例经手术病理证实的肘关节滑膜骨软骨瘤病患者的临床表现和X线、CT和MRI资料。结果 本组14例中，男10例，女4例，平均年龄41.9岁。单肘关节发病13例，较少见的双肘发病1例，右肘12例，左肘3例。9例在X线平片上均表现关节内为多个圆形或卵圆形的钙化结节影，大小、数目不等，结节密度不均，呈环形或半环形高密度影。6例多层螺旋CT薄层扫描清晰显示大小不等、数目不一的钙化游离体，可显示X线阴性的隐蔽部位游离体、增厚的滑膜、软骨下侵蚀和关节腔内积液情况。1例MR检查发现肘关节内多个结节，边界清晰，在T1WI呈等、低信号，在T2WI和STIR序列呈低信号，在T2WI脂肪抑制序列上显示滑膜增厚，关节腔内少量积液。 结论 肘关节滑膜骨软骨瘤病少见，影像学特征典型，结合病史可明确诊断。 【关键词】 肘关节； 滑膜骨软骨瘤病； 放射摄影术； 体层摄影术； X线计算机； 磁共振成像 Imaging diagnosis analysis of elbow joint synovial osteochondromatosis Cheng Xiao-jie1, Yao Qing-dong1, Liu Hai-xiao, He Jia-wei1, Zhang Cheng-bing1, Peng Lei*1,2 (1.The Second Affiliated Hospital of HYPERLINK /Wenzhou Medical College, Wenzhou 325000, China; 2. The Affiliated Hospital of Hainan Medical College. Haikou 570100, China) Abstract Objective To investigate the imaging feature of elbow joint synovial osteochondromatosis. Methods 14 cases elbow joint synovial osteochondromatosis proved by surgery and were collected in this study. The clinical manifestation and imagings finding X-ray, CT, MRI were analyzed retrospectively. Results Of 14 cases, 10 males, 4 females，average age is 41.9 years. Unilateral elbow joint involved in 13 cases, 1 case involved bilateral elbow joints rarely, the right elbow joint involved in 12 cases, 3 cases in the left. Multiple intra-articular calcification or nodules in round or oval could be found in all 9 cases on radiograph, the nodules appeared unequally in magnitude and amounts, uneven density, and presented ring or half ring of high-density. 6 cases executed by MSCT thin slice scan, calcification displayed sizes, amounts in variety, furthermore, loose bodies in concealed site which were negative on X-ray could be demonstrated on MSCT as well as thickened synovial, cartilage erosion and the articular cavity effusion. Multiple nodules in elbow joint could be displayed in 1 case performed MR examine