髋骨关节结核的CT表现

中国防痨杂志 ›› 2007, Vol. 29 ›› Issue (5): 429-431.

髋骨关节结核的CT表现

贺伟；徐金萍；周新华；

北京市结核病胸部肿瘤研究所放射科北京 101149；

出版日期:2007-05-10 发布日期:2007-11-03

The CT features of tuberculosis in hip joint

He Wei,Xu Jingping,Zhou Xinhua.

Tuberculosis and Thoracic Tumor Research Institute,Beijing 101149,China

Online:2007-05-10 Published:2007-11-03

摘要/Abstract

摘要： 目的探讨髋骨关节结核的CT表现。方法收集确诊的髋骨关节结核的患者41例,分析其CT表现并比较儿童和成人的影像差别。结果髋骨关节结核的主要CT表现为骨质破坏(90.3%),患侧臀肌及下肢肌肉萎缩(87.7%),软组织肿胀及脓肿(75.6%),关节间隙增宽或狭窄(73.1%),关节腔积液(63.5%),关节周围骨质疏松(46.3%)。儿童出现关节腔积液的比例明显高于成人。结论CT对髋关节结核的诊断具有重要的价值。

关键词: 结核,骨关节/诊断, 结核,髋关节, 体层摄影术,X线计算机

Abstract: Objective To evaluate the CT features of tuberculosis in the hip joint. Methods The 41 cases who were diagnosed definitely as tuberculosis in the hip joint were analyzed the CT appearances,and compared the CT appearances in children with that in adults. Results The CT main features of tuberculosis in hip joint were as follow: bone destruction(90.3%),hip and lower limb’s muscles atrophy(87.7%),soft tissue swelling and abscess(75.6%),joint space widened or narrowed(73.1%),joint space effusion(63.5%) and juxta-articular osteoporosis(46.3%).Joint space effusion in children was more than that in adults. Conclusion CT examination had an important value in the diagnosis of tuberculosis in hip joint.

Key words: Tuberculosis,osteoarticular, Tuberculosis,hip joint, Tomography,X-ray computed

贺伟,徐金萍,周新华,. 髋骨关节结核的CT表现[J]. 中国防痨杂志, 2007, 29(5): 429-431.

He Wei,Xu Jingping,Zhou Xinhua.. The CT features of tuberculosis in hip joint[J]. Chinese Journal of Antituberculosis, 2007, 29(5): 429-431.