骨骼系统常见病的影像诊断.ppt

骺、干骺端为好发部位，骨干结核少见 表现：骨松质类圆形骨质破坏，无骨质增生 少骨膜反应，碎屑状（泥沙）死骨；骨质疏 松，易累及骨骺、关节，不易向骨干发展。 Localized bone destruction in the epiphysis or metaphysis. Lack of new bone formation and periosteal reaction. Small sand-like sequestrum quite in contrast to that of pyogenic infection. As this disease progresses, it has a tendency to break through the epiphysis to involve the joint . It may break through the cortex, periosteum and invade the sorrounding soft tissue forming a fistula. 长骨结核(tuberculosis of long bones) 骨结核与化脓性骨髓炎鉴别 胫骨骨骺外侧和相邻干骺端区有骨质破坏。关节囊肿胀。 急性化脓