骨内腱鞘囊肿的影像诊断

The diagnostic of intraosseous ganglion

目的：探讨骨内腱鞘囊肿特征性的临床及影像表现方法回顾性分析经病理证实的20例骨内腱鞘囊肿患者的临床及影像学资料，并进行相关文献复习结果20例患者中，18例为单关节病变，2例为多关节病变，各关节均可发病，以膝关节、髋关节为好发部位。病灶边缘规则呈囊状，大小介于0.3-3.0cm，内境光滑，部分可见与关节面呈裂隙状相通。结论骨内腱鞘囊肿有其特殊发病部位，结合其临床及影像特征表现，提高对该病的认识，对临床早期诊断及治疗有积极的意义。

Objective To approach the distinctive features of the clinical, the image and the pathology analysis of intraosseous ganglion. Methods The clinical and imaging features of 20 cases of intraosseous ganglion which had been confirmed by pathology were retrospectively analyzed, and relevant documents were reviewed. Results 18 of the 20 cases are simple joint arthropathy, 2cases are polyarthropathy, every joint could fall ill, knee and hip are predilection site. Lesions have regulation borderline and are capsular, 0.3cm-3.0cm in size, smooth, some cases show slit-shaped under articular facet. Conclusion There are special parts to fall ill in intraosseous ganglion. It may have proactive significance to the early clinical diagnosis and therapy that increasing awareness of the disease by possessing the clinical and imaging characteristics.