bone abscess
- bone abscess的基本解释
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骨脓肿
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After routine antituberculosis chemotherapy, the patients were treated by dead bone erasion and tuberculose focus removal of abscess, dead bone, granulation tissue and cheese-like substance, intervertebral body fusion with bone graft and Ventrofix system.
经术前正规抗结核药物化疗后行病椎死骨刮除,周边脓肿、死骨、肉芽组织及干酪样物质等结核病灶清除,椎间大块自体骨植骨或钛网植入自体骨粒植骨,一期行前路内固定术,术后继续抗结核治疗1~1.5年。
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Results (1) Osteitis and destruction of end-plate showed long T1 and long T2.(2) Anterior and lateral abscess had long T1 and long T2 presenting even and structure-less signal.(3) The intervertebral discs showed normal or only degeneration at the early stage, and destroyed at later stage.(4) With Gd-DTPA enhancement, fibrotic granulation around abscess and destroyed area was well demonstrated.(5) Abscess in the bone and/or paraspinal abscess, destruction of end-plate were the important evidence for early diagnosis.
结果 (1)椎体骨炎及终板破坏呈长T1长T2信号,(2)椎旁或椎前冷脓肿呈长T1长T2均匀无结构信号,且上下跨越范围较大,(3)早期椎间盘信号正常或只出现退变,晚期则被破坏,(4)Gd-DTPA增强扫描可清楚显示冷脓肿周围纤维肉芽组织及椎管内侵犯,(5)骨内小脓肿和/或椎旁脓肿、椎体终板破坏是MRI诊断早期脊柱结核的重要依据。
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Results Soft tissue swelling: 19 cases showed on CT (degree Ⅰ 6 cases; degree Ⅱ: 5 cases; degree Ⅲ: 8 cases), and 12 cases showed on MRI (degree Ⅰ 4 cases; degree Ⅱ 3 cases; degree Ⅲ 5 cases); Arthroedema seven on CT, and Ⅱ on MRI; Synovium granulation hyperblastosis 13 on CT, and 10 on MRI; Changes of joint space 13 on CT, and 17 on MRI. Destruction of bone (6 cases), osteosclerosis (15), osteoporosis (4), bone pneumatosis (6) and abscess-like cyst (1) were seen on CT.
结果 CT显示软组织肿胀19例(Ⅰ度6例,Ⅱ度5例,Ⅲ度8例),MRI显示12例(Ⅰ度4例,Ⅱ度3例,Ⅲ度5例);CT显示关节腔积液7例,MRI显示Ⅱ例;CT显示滑膜肉芽组织增生13例,MRI显示10例;CT显示关节间隙改变13例,MRI显示7例;CT显示髋关节骨质破坏6例,骨质硬化15例,骨质疏松4例,骨内积气6例,脓肿样囊腔1例。
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chronic bromism:慢性溴中毒
chronic bone abscess 慢性骨脓肿 | chronic bromism 慢性溴中毒 | chronic bronchitis 慢性支气管炎
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greenstick fracture:[青枝骨折]
②青枝骨折(greenstick fracture)是骨质未完全断裂,仅引起皮质皱折和骨小梁扭曲. ①慢性骨脓肿(Brodie abscess of bone)是局限性骨髓炎,位于干骺端中心部位,呈圆形、椭圆形或不规则形破坏区,边缘整齐有硬化,一般无死骨、骨膜增生及瘘管.
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epiphyseal fracture:骨折
①骺离骨折(epiphyseal fracture)即骨骺分离. ②青枝骨折(greenstick fracture)是骨质未完全断裂,仅引起皮质皱折和骨小梁扭曲. ①慢性骨脓肿(Brodie abscess of bone)是局限性骨髓炎,位于干骺端中心部位,呈圆形、椭圆形或不规则形破坏区,