儿童四肢长管状骨囊肿鉴别诊断
- 作者: Shpileuski I.E.1
-
隶属关系:
- Republican Scientific and Practical Center of Traumatology and Orthopedics
- 期: 卷 9, 编号 1 (2021)
- 页面: 63-76
- 栏目: Original Study Article
- ##submission.dateSubmitted##: 18.10.2019
- ##submission.dateAccepted##: 11.01.2021
- ##submission.datePublished##: 15.03.2021
- URL: https://journals.eco-vector.com/turner/article/view/16467
- DOI: https://doi.org/10.17816/PTORS16467
- ID: 16467
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详细
论证。骨囊肿是儿童时期骨的良性类肿瘤疾患。一般来说,它们占所有儿童良性骨肿瘤及肿瘤样病变的21-57%。动脉瘤和孤立性骨囊肿的临床-放射学影像非常相似,类似于其他一些经常发生的良性骨质破坏性病变,如内生软骨瘤、巨细胞瘤、骨纤维发育不良、干骺纤维性缺损。
目的是确认孤立性和动脉瘤骨囊肿的主要临床-仪表指征,并鉴别诊断类似的骨质破坏性病变(内生软骨瘤、巨细胞瘤、骨纤维发育不良、干骺纤维性缺损),详细分析各类诊断性手术干预的完成指征。
材料与方法。对2000-2015期间,在本机构接受治疗的206名,年龄在3-18岁的患者的调查结果进行了回顾性分析。评估了所采用的诊断策略及其有效性(临床-放射学和形态学诊断的一致性)。
结果。确定了主要临床-仪表诊断标准,这些标准允许在形态学前阶段将骨囊肿与一些类似的良性骨质破坏性病变区分开来,确立了诊断性手术干预的完成指征。
结论。确立了骨囊肿和一些类似的良性骨质破坏性病变鉴别诊断中出现的主要困难,并制定了一套为病患采用各种诊断手术干预的纲要。
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作者简介
Ihar Shpileuski
Republican Scientific and Practical Center of Traumatology and Orthopedics
编辑信件的主要联系方式.
Email: ihar760@yandex.com
ORCID iD: 0000-0001-8098-6129
MD, PhD
白俄罗斯, 60 building 4 Lieutenant Kizhevatov str., Minks, 220024参考
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图 2 骨囊肿:a—孤立性骨囊肿,»x线发现»;为创伤进行X射线检查,未发现病理过程临床表现;b—孤立性骨囊肿,病理性骨折;骨折前没有发现病理过程临床表现;c—动脉瘤样骨囊肿;x光射线-溶骨性病灶的骨小梁多孔结构;在计算机断层图中可见壁厚不均匀的唯一腔室,带有骨内膜成骨区域;d-动脉瘤样骨囊肿;无组织溶骨性病灶,在X光扫描中-皮质壁破坏区域,腔室内没有骨隔膜;在磁共振断层图中-由软组织隔膜分隔出多个独立腔室
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图 4 巨细胞瘤:a-溶骨性形态(x射线和计算机断层扫描);带有破坏组织的皮质层急剧变薄,其破坏区域,肿瘤破坏干骺端外端(epimetaphys)(骺板被破坏);b-骨小梁多孔形态(x射线和巨体标本);在巨体标本割开后可见不相互连通的,骨桥将各腔室分隔开;生长区域受到破坏
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