肘关节滑膜骨软骨瘤病影像学诊断价值探讨.docVIP

精品论文 参考文献 肘关节滑膜骨软骨瘤病影像学诊断价值探讨 钟福华1.2 　　（1福建省龙岩监狱医院影像科 福建 龙岩 364000） 　　（2厦门大学附属中山医院影像科 福建 厦门 361004） 　　【摘要】 目的：肘关节滑膜骨软骨瘤病通过X线、CT、MRI等影像学检查的表现分析，探讨其诊断价值。方法：回顾性分析的方法总结厦门大学附属中山医院影像科2009.10～2013.7 经病理确诊的肘关节滑膜骨软骨瘤病患者6例,6例病例均行X线检查，4例患者行CT检查，4例患者行MRI检查。结果：肘关节滑膜骨软骨瘤病6例患者行X线检查，表现为不规则钙化及骨化游离体，游离体密度不均，4例患者行CT检查表现为大小不等钙化游离体，较X线更能明确数量及游离体的位置，4例患者行MRI检查可发现多个游离体，边界清楚，可显示滑膜情况。结论：X线多能诊断肘关节滑膜骨软骨瘤病，CT对于诊断及手术有帮助，MRI是早期诊断的重要方法。 　　【关键词】 滑膜骨软骨瘤病；肘关节；影像学；诊断 　　【中图分类号】R445 【文献标识码】A 【文章编号】2095-1752（2016）15-0064-02 　　Value to investigate the imaging diagnosis of elbow joint synovial osteochondroma disease Zhong Fuhua. Longyan Prison Hospital, Fujian Province,Longyan, 364000, China; Sun Yat-sen Hospital Affiliated to Xiamen University, Fujian province, Xiamen 361004, China 　　【Abstract】Objective Through the examination such as X-ray, CT, MRI, explore the elbow joint synovial osteochondroma disease imaging diagnostic value. Methods In October 2009 to 2009 were retrospectively analyzed in July by elbow joint synovial osteochondroma patients diagnosed 6 cases. In 6 patients with X-ray, CT examination in 4 patients, 4 cases by MRI examination. Results The X-ray inspection, characterized by irregular calcification and ossification free body, uneven density of loose bodies. 4 ct examination, show the size of calcification loose bodies, compared with X-ray, can be more clear the number and location. MRI, can find multiple loose bodies, border and clear, it can display synovial membrane. Conclusions Can X-ray diagnosis of elbow joint synovial membrane osteochondroma disease, CT diagnosis and surgery for help, MRI is of the important methods for early diagnosis. 　　【Key words】Synovial membrane osteochondroma disease; Elbow; Imaging; The diagnosis 　　滑膜骨软骨瘤病是一种常见于膝关节、肘关节、肩关节、髋关节等大关节的良性疾病，此病多见于青少年，男性多于女性，关节滑膜有化生引起的一类疾病，笔者将2009.10～2013.7 经病理确诊的肘关节滑膜骨软骨瘤病6例患者，根据影像学表现探讨影像学诊断价值及鉴别诊断，现报告如下。 　　1.临床资料 　　1.1 一般资料 　　本组6例患者均为经病理确诊的肘关节滑膜骨软骨瘤病，男4例，女2例，年龄17～41岁，平均33岁；部位：左侧2例，