颅骨常见破坏性病变51例临床及影像学分析

Clinic and Imaging Manifestation of Destructive Lesions in Skull (in 51 Cases)

目的 提高颅骨破坏性疾病类的鉴别诊断水平。方法 结合文献回顾分析 5 1例资料完整的颅骨破坏性疾病。结果 5 1例中 ,骨髓瘤为 15例 ,脑膜瘤及转移性骨肿瘤各 10例 ,骨髓炎、垂体腺瘤及嗜酸性肉芽肿各 3例 ,血管瘤、胆脂瘤各 2例 ,结核、听神经瘤、动脉瘤样骨囊肿各 1例。

Objective To improve the differential diagnosis of destructive lesions in skull. Methods 51 patients with destructive lesions in skull were analyzed retrospectively and relative literature were reviewed. Results The etiology of the patients with the destructive lesions of skull was as followings : myeloma in 15, meningioma in 10 , bone metastases in 10 , osteomyelitis in 3, eosinophilic granuloma in 3 pituitary adenoma in 3 , hemangioma in 2, dermoid cysts in 2, patients respectively , and tuberculosis of bone, acoustic neusoma and aneurysmal bone cysts in 1 case respectively. Conclusion The etiology of the destructive lesions in skull are varied ,which has similar findings in imaging exams. Differential diagnosis depends on careful analysis of imaging appearance combining with the clinical findings.