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非典型骨髓炎的影像学表现及治疗

张开刚 尚凯 马玉栋 王军

临床骨科杂志2012,Vol.15Issue(1):26-28,3.
临床骨科杂志2012,Vol.15Issue(1):26-28,3.

非典型骨髓炎的影像学表现及治疗

Radiography,clinical diagnosis and treatment of atypical pyogenic osteomyelitis

张开刚 1尚凯 1马玉栋 1王军1

作者信息

  • 1. 泰安市中心医院骨科,山东,泰安,271000
  • 折叠

摘要

Abstract

Objective To analyze the radiography features of clinical atypical pyogenic osteomyelitis and to explore treatment method. Methods The radiography signs of 24 cases with atypical pyogenic osteomyelitis, were compared with the surgical pathology findings. Results The post operational pathology of 24 cases were confirmed atypical pyogenic osteomyelitis. Demonstrates soft tissue swelling case: X-ray plain film 10 cases, CT 18 cases, MRI 21cases; demonstrates periosteal reaction:X-ray plain film 15 cases,CT 18 cases, MRI0 cases; demonstrates increased density of marrow cavity:X-ray plain film 11 cases,CT 16 cases,MRI 24 cases; demonstrates thickening of bone cortex: X-ray plain film 10 cases,CT 14 cases,MRI 18 cases. Conclusions MRI helps a lot in early diagnosis and differential diagnosis of atypical pyogenic osteomyelitis, whereas X-ray plain radiography is still the basis of each diagnosis. X-ray, CT with MR imaging is an important means in the early diagnosis and differential diagnosis of atypical pyogenic osteomyelitis. Atypical imaging findings of chronic osteomyelitis is not typical, misdiagnosis rate was relatively high, awareness of the clinical and imaging findings can improve the level of diagnosis and treatment about this kind of osteomyelitis.

关键词

骨髓炎/放射摄影术/骨髓炎/治疗

Key words

osteomyelitis/radiolography/osteomyelitis/therapy

分类

医药卫生

引用本文复制引用

张开刚,尚凯,马玉栋,王军..非典型骨髓炎的影像学表现及治疗[J].临床骨科杂志,2012,15(1):26-28,3.

临床骨科杂志

OACSTPCD

1008-0287

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