骨纤维异常增殖症影像诊断对比分析.docVIP

骨纤维异常增殖症影像诊断对比分析（广西河池市第三人民医院放射科 547000） 【摘要】目的 对骨纤维异常增殖症的X线与CT诊断分析。 方法 回顾性分析54例由病理证实的骨纤维异常增殖症的X线与CT征象特点。 结果 54例中单骨型33例，多骨型19例，Albright综合症2例。X线表现比较复杂，常见有囊状改变、毛玻璃样改变、丝瓜瓤样改变及虫蚀样改变4种骨改变。CT表现有囊状低密度影、毛玻璃样改变、斑块样硬化。 结论 骨纤维异常增殖症的影像诊断以X线平片为首选，头颅等较复杂部位的影像诊断以CT为佳。 【关键词】骨纤维异常增殖症；X线；CT Analysis of manifestations of Fibrous Dysplasia of Bone on X-ray and CT Scan 【Abstract】 Objective To analyze the manifestations of fibrous dysplasia of bone（FDB） on X-ray and CT. Methods Fifty-four cases with FDB confirmed by pathology were enrolled in the study and their manifestations of FDB on X-ray and CT were reviewed. Results Out of 54 cases, 33 showed fibrous dysplasia of single bone, 19 showed fibrous dysplasia of multi-bones and the rest two showed Albright syndrome. X-ray performance was more complex with common signs of pouch shape change, rough hyalo-like change, sponge groud-flesh type and moth-eaten type. CT features of lesions were pouch shape low density shade, rough hyalo-like change and motting type hardening. Conclusion X-ray film should be the first choice in diagnosis of fibrous dysplasia. CT is highly sensitive in displaying lesions of more complex parts, like skull. 【Keywords】 Fibrous dysplasia of bone; X-ray; CT 【中图分类号】R739.82 【文献标识码】A 【文章编号】1008-6455（2011）06-0383-01 骨纤维异常增殖症（Fibrous dysplasia of bone ，FDB）是一种并不少见的骨的良性病变，常见于儿童和青少年。全身骨骼均可发病，以四肢、骨盆、头颅多见。X线与CT对该病的诊断很有意义，本文收集我院1993～2007经病理证实、资料完整的骨纤维异常增殖症54例，对其X线与CT征象分析如下。 1 资料与方法 1.1 临床资料:本组男29例，女25例。就诊年龄8～45岁，平均23岁。临床表现主要有病变部位疼痛33例，压痛19例，运动障碍8例，长骨弯曲畸形或跛行5例，合并骨折4例，头面部不对称或有局部骨性隆起7例，视力障碍或眼球突出4例，听力障碍3例，鼻塞3例，2例为Albright综合症，无症状偶然发现者9例。 1.2方法:54例中48例摄有X线平片，41例行CT平扫检查，其中，35例同时摄有X线平片和CT平扫检查。 2 结果 2.1病变部位:单骨型33例，占61.1%，多骨型19例，占35.2%，Albright综合症2例，占3.7%。累及股骨最多为24例，胫骨11例，腓骨2例，跟骨1例，骨盆3例，肱骨2例，桡骨2例，尺骨1例，肋骨2例，颞骨5例，额骨3例，蝶骨2例，上颌骨2例。Albright综合症2例为女性患者。 2.2 X线表现:48例摄有X线平片患者中囊状改变25例，毛玻璃样改变15例，丝瓜瓤样改变5例，虫蚀样改变3例。⑴发生于长管状骨的多数（20例）表现为囊状骨质破坏，骨皮质变薄，髓腔增宽甚至部分缺损；少数病例（2例）可见病灶上、下方皮质增厚，髓腔变窄。单囊（7例）表现为单个边缘硬化而清晰的透光区，骨皮质变薄，内缘