滑膜骨软骨瘤病的影像诊断

Imaging Dignosis of Synovial Osteochondromatosis

目的探讨滑膜骨软骨瘤病的影像表现。方法收集临床和病理证实的滑膜骨软骨瘤病25例,25例均有X线平片检查,其中18例行CT检查,12例行MR检查。结果 X线平片主要见关节内或/和关节周围大小不等、形态不一、数目不同的钙化或骨化游离体;CT检查可发现隐蔽游离体、增厚的滑膜和关节腔内积液;MR能发现关节内未钙化软骨瘤结节,除可见关节游离体,还清晰显示软骨、滑膜,周围软组织的改变情况和关节积液等表现。结论影像学检查对滑膜骨软骨瘤病有较高的诊断价值。

Objective To discuss the synovial osteochondromatosis of the imaging. Methods The clinical and pathological confirmation of the synovial osteochondromatosis 25 cases, 25 cases were X-ray examination, of which 18 cases underwent CT examination and 12 cases underwent MR examination. Results X-ray film, see the main within and / or around the joints vary in size shape and the number of different calcification or ossification of loose bodies CT examination can be found hidden loose bodies, thickened synovium and intra-articular effusion MR can detect intra-articular not free of calcification cartilage tumor nodules, in addition to articular loose bodies can be seen, but also clearly indicated that cartilage synovial soft tissue changes and joint effusion Conclusion imaging examination of the synovial osteochondromatosis have a high diagnostic value.