| 于洪存,史浩,丁红宇,刘素兰,李爱银.血友病性肌骨假肿瘤患者骨骼的影像学表现[J].中国医学影像技术,2015,31(2):286~289 |
| 血友病性肌骨假肿瘤患者骨骼的影像学表现 |
| Musculoskeletal imaging findings of hemophilic pseudotumor |
| 投稿时间：2014-08-08 修订日期：2014-12-07 |
| DOI：10.13929/j.1003-3289.2015.02.035 |
| 中文关键词: 血友病 肌骨骼疾病 体层摄影术,X线计算机 磁共振成像 |
| 英文关键词:Hemophilia Musculoskeletal diseases Tomography, X-ray computed Magnetic resonance imaging |
| 基金项目: |
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| 中文摘要: |
| 目的 探讨血友病性肌骨假肿瘤(HPOM)骨骼变化的影像表现。方法 收集HPOM患者16例,均为男性,其中A型12例为,B型4例;轻、中度分别为1例、15例。凝血四项中活化部分凝血活酶均延长,12例凝血因子Ⅷ下降,4例凝血因子Ⅸ下降。所有患者均接受CT及MR检查。结果 单发骨病变4例,多发骨病变4例,多处肌/骨病变8例。骨质破坏表现为囊样型、囊样膨胀型、纯溶骨型、骨膜增生型、骨皮质受压型。部分病变存在钙化、软组织肿块,骨病变与软组织病变可相连或不连。结论 HPOM患者骨骼影像学变化具有多样性,其CT密度或MR信号改变具有不同时期血肿特征。 |
| 英文摘要: |
| Objective To explore the bone imaging findings of hemophilic pseudotumor of musculoskelelon (HPOM) patients. Methods Sixteen HPOM patients were enrolled in this study. Patients were all males and 12 cases in type A, 4 cases in type B, 1 in mild grade, 15 in medium type. Activated partial thromboplastin were all prolonged, and coagulation factor Ⅷ decreased in 12 cases, coagulation factor Ⅸ decreased in 4 cases. All patients underwent CT and MR. Results Single bone lesions were 4 cases, multiple bone lesions were 4 cases, muscle/bone lesions were 8 cases. Bone destruction showed capsule type, dilatability, pure osteolytic type, periosteum hyperplasia type, bone cortex-compressed type. Calcification and soft tissue mass occurred in some lesions. Bone lesions and soft tissue lesions had connected or not. Conclusion Imaging characteristics of HPOM are diversity, density/signal changes on CT/MRI reflects the old hematoma characteristics of different periods. |
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