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[1]黃善強,程曉光.半肢骨骺發(fā)育異常的多層螺旋CT影像表現(xiàn)特點[J].中醫(yī)正骨,2021,33(12):31-33.
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半肢骨骺發(fā)育異常的多層螺旋CT影像表現(xiàn)特點()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期數(shù):
2021年12期
頁碼:
31-33
欄目:
影像診斷
出版日期:
2021-12-20

文章信息/Info

作者:
黃善強1程曉光2
(1.浙江省臺州醫(yī)院,浙江 臨海 317000; 2.北京積水潭醫(yī)院,北京 100035)
關鍵詞:
多層螺旋計算機體層攝影術 兒童 半肢骨骺發(fā)育異常
摘要:
目的:分析半肢骨骺發(fā)育異常(dysplasia epiphysealis hemimelica,DEH)的多層螺旋CT影像表現(xiàn)特點。方法:對2017年1月至2020年12月經手術及病理檢查確診的39例DEH患兒的64排螺旋CT影像資料進行回顧性分析。男27例,女12例; 年齡2~15歲,其中2~7歲24例、8~15歲15例。病程1~6年,中位數(shù)3年。由兩位高年資骨肌影像醫(yī)師共同閱片,重點觀察病灶累及部位和形態(tài)。結果:本組39例患兒,病灶位于單側膝關節(jié)8例、單側踝關節(jié)18例、同側膝關節(jié)和踝關節(jié)13例。病灶位于膝關節(jié)者,累及股骨內側髁和脛骨內側平臺骨骺19例(其中2例合并股骨遠端骺板早閉,2例合并膝關節(jié)外翻); 單純累及股骨內側髁、脛骨內側平臺骨骺各1例。病灶位于踝關節(jié)者,累及脛骨遠端和距骨滑車骨骺21例; 累及脛骨遠端、距骨及足舟骨骨骺8例; 累及距骨外側、腓骨遠端、足舟骨及骰狀骨骨骺2例,其中1例合并踝關節(jié)內翻。2~7歲的24例患兒中,18例CT表現(xiàn)為骨骺周圍偏側性散在斑點狀、結節(jié)狀、小片狀的鈣化或骨化影,與固有骨骺無融合; 其余6例表現(xiàn)為偏側骨骺局限性膨大。8~15歲的15例患兒中,13例CT表現(xiàn)為骨骺旁分葉狀或結節(jié)狀團塊影,與固有骨骺部分或完全融合,骨骺偏側性增大、形態(tài)失常,關節(jié)端可見畸形骨性突起; 其余2例表現(xiàn)為散在的結節(jié)狀、小片狀的鈣化或骨化影。結論:DEH多發(fā)于踝、膝關節(jié),不同年齡段DEH患兒的多層螺旋CT影像特點不同。2~7歲的低年齡段患兒,多表現(xiàn)為骨骺周圍偏側性散在斑點狀、結節(jié)狀、小片狀的鈣化或骨化影,與固有骨骺無融合; 8~15歲的高年齡段患兒,多表現(xiàn)為骨骺旁分葉狀或結節(jié)狀團塊影,與固有骨骺部分或完全融合,骨骺偏側性增大、形態(tài)失常,關節(jié)端可見畸形骨性突起。

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備注/Memo

備注/Memo:
通訊作者:程曉光 E-mail:[email protected]
更新日期/Last Update: 1900-01-01