股骨大粗隆单发结核5例影像学诊断

Imaging diagnosis of 5 cases of femoral big thick long solitary tuberculosis

目的:研究股骨大粗隆单发结核的影像学特点。方法:将15年来我院诊治的5例大粗隆单发结核的资料收集整理,对经病理证实的5例单发大粗隆结核的影像学征象进行回顾性分析。结果:①大粗隆单发结核较其他部位的骨关节结核少见。②大粗隆单发结核均有不同程度的骨质破坏、骨质缺损及寒性脓肿。部分病例可见软组织钙化斑形成。③本病多发于成年人。结论:股骨大粗隆出现骨质异常的影像学表现应高度警惕本病的可能,并作相应的鉴别诊断。

Objective： To study imaging features of femoral big thick long solitary tuberculosis. Methods： The data of 5 cases of femoral big thick long solitary tuberculosis were collected during 15 years in our hospital, and imaging features of 5 cases of pathologically proved femoral big thick long solitary tuberculosis were analyzed retrospectively. Results： ①The big thick long solitary than other places of osteoarticular tuberculosis was rare. ②Big thick long solitary tuberculosis was different degree of bone destruction, bone defect and cold sex abscess. Partially soft tissue calcified plaque formation. ③this happened in adults. Conclusion： Femoral big thick long appearing abnormal imaging findings may be alert the disease and makes corresponding differentiate diagnosis.