[1]黄善强,程晓光.半肢骨骺发育异常的多层螺旋CT影像表现特点[J].中医正骨,2021,33(12):31-33.
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半肢骨骺发育异常的多层螺旋CT影像表现特点()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第33卷
期数:
2021年12期
页码:
31-33
栏目:
影像诊断
出版日期:
2021-12-20

文章信息/Info

作者:
黄善强1; 程晓光2
(1.浙江省台州医院,浙江 临海 317000; 2.北京积水潭医院,北京 100035)
关键词:
多层螺旋计算机体层摄影术;  儿童;  半肢骨骺发育异常
摘要:
目的:分析半肢骨骺发育异常(dysplasia epiphysealis hemimelica,DEH)的多层螺旋CT影像表现特点。方法:对2017年1月至2020年12月经手术及病理检查确诊的39例DEH患儿的64排螺旋CT影像资料进行回顾性分析。男27例,女12例; 年龄2～15岁,其中2～7岁24例、8～15岁15例。病程1～6年,中位数3年。由两位高年资骨肌影像医师共同阅片,重点观察病灶累及部位和形态。结果:本组39例患儿,病灶位于单侧膝关节8例、单侧踝关节18例、同侧膝关节和踝关节13例。病灶位于膝关节者,累及股骨内侧髁和胫骨内侧平台骨骺19例(其中2例合并股骨远端骺板早闭,2例合并膝关节外翻); 单纯累及股骨内侧髁、胫骨内侧平台骨骺各1例。病灶位于踝关节者,累及胫骨远端和距骨滑车骨骺21例; 累及胫骨远端、距骨及足舟骨骨骺8例; 累及距骨外侧、腓骨远端、足舟骨及骰状骨骨骺2例,其中1例合并踝关节内翻。2～7岁的24例患儿中,18例CT表现为骨骺周围偏侧性散在斑点状、结节状、小片状的钙化或骨化影,与固有骨骺无融合; 其余6例表现为偏侧骨骺局限性膨大。8～15岁的15例患儿中,13例CT表现为骨骺旁分叶状或结节状团块影,与固有骨骺部分或完全融合,骨骺偏侧性增大、形态失常,关节端可见畸形骨性突起; 其余2例表现为散在的结节状、小片状的钙化或骨化影。结论:DEH多发于踝、膝关节,不同年龄段DEH患儿的多层螺旋CT影像特点不同。2～7岁的低年龄段患儿,多表现为骨骺周围偏侧性散在斑点状、结节状、小片状的钙化或骨化影,与固有骨骺无融合; 8～15岁的高年龄段患儿,多表现为骨骺旁分叶状或结节状团块影,与固有骨骺部分或完全融合,骨骺偏侧性增大、形态失常,关节端可见畸形骨性突起。

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备注/Memo

备注/Memo:
通讯作者:程晓光 E-mail:xiao65@263.net
更新日期/Last Update: 1900-01-01