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硬化

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Results Early signs of ANFH using CT showed that, in 38 femoral heads 31 cases, there were radiate star shape of highdensity osteosclerosis of the trabeculae in 13 femoral head.Twentyfive femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately lowostedensity area and cyst change.There were fracture under the cartilage and light subsid in 5 cases.The cases in stage Ⅰwere given decompression, while the pationtsresul in stageⅡand stageⅢ were given decompression and ostetransplant.

结果:早期ANFH的CT表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的"星状征",骨小梁境界清楚、锐利,属Ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属Ⅱ期;并有5个股骨头在Ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属Ⅲ期。

The partial vertebrectomy of vertebral body with spinal tuberculosis should involve all the unconspicuous tubercular infectious bone that is 4 mm apart to the distinct infectious focus, including the vertebral osteosclerosis, granulation tissue and necrotic tissne.

欲彻底切除脊柱结核病灶,需切除距明显病灶4 mm的包括硬化骨、结核肉芽组织、坏死物质在内的所有骨质。

objective to evaluate early signs of avascular necrosis of femoral head in adult by ct and to guide clinical treatment.methods the cases with suspicious diagnose of anfh were scaned in the both hip joints by x ray and ct to find the early signs of anfh with ct.results early signs of anfh using ct showed that, in 38 femoral heads 31 cases, there were radiate star shape of high density osteosclerosis of the trabeculae in 13 femoral head.twenty five femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately low ostedensity area and cyst change.there were fracture under the cartilage and light subsid in 5 cases.the cases in stage ⅰwere given decompression, while the pationtsresul in stageⅱand stageⅲ were given decompression and ostetransplant.conclusion ct results show that the sign of the high osteodensity and low osteodensity and cyst change can disply early anfh.

摘 要]目的:探讨成人股骨头缺血性坏死的早期ct征象并指导临床治疗。方法:对临床疑诊anfh的全部病例均行x线平片及ct检查,分析anfh的早期ct征象。结果:早期anfh的ct表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的"星状征",骨小梁境界清楚、锐利,属ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属ⅱ期;并有5个股骨头在ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属ⅲ期。治疗结果:ⅰ期行钻孔髓内减压术,ⅱ、ⅲ期行钻孔减压植骨术。

Results Sacroiliac joints in 62 cases were abnormal:in early stage,articular face was affected and the bone cortex incrassated and osteosclerosis partly,joint space was normal;in late stage,vermiform destruction of bone was seen in articular face,the density of cortex was heighten irregular,joint space widen or narrow,and at last the joint space vanished,the joint ankylosed.

结果 62例患者骶髂关节表现异常,包括:早期,骨关节面受侵蚀、骨皮质局限增厚、硬化,关节间隙正常;后期,关节面呈虫蚀状改变,关节面皮质密度不规则增高,关节间隙增宽或变窄,最终关节间隙消失,关节强直。

Results Early signs of ANFH using CT showed that, in 38 femoral heads 31 cases, there were radiate star shape of high density osteosclerosis of the trabeculae in 13 femoral head.Twenty five femoral heads showed osteosclerosis and trabeculae structure disappearing and vague,incoordinately low ostedensity area and cyst change.There were fracture under the cartilage and light subsid in 5 cases.The cases in stage Ⅰwere given decompression, while the pationtsresul in stageⅡand stageⅢ were given decompression and ostetransplant.

结果:早期ANFH的CT表现:31例38个股骨头,其中13个股骨头骨小梁呈放射状高密度的"星状征",骨小梁境界清楚、锐利,属Ⅰ期;25个股骨头表现为骨硬化,骨小梁结构消失、模糊不清,骨密度减低及囊性改变,属Ⅱ期;并有5个股骨头在Ⅱ期影像学改变基础上出现软骨下骨折及轻微塌陷,属Ⅲ期。

Results Metaphysis osteoporosis was observed on X-ray and CT in acute stage, the midsection of infarct of bone was isointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Small worm-eaten change and stippled calcification was observed on X-ray and CT in subacute stage, the infarct of bone was iso/hypointensity on T1WI and iso/hyperintensity signal on T2WI, the edge of infarct of bone was ring-shaped hypointensity on T1WI and hyperintensity signal on T2WI. Irregular and wriggle osteosclerosis was observed on X-ray and CT in chronic stage, was hypointensity on T1WI and T2WI.

结果 骨梗死急性期X线、CT表现为干骺端骨质疏松,MR T1WI骨梗死灶中央部分呈等至高信号,T2WI呈高信号,T1WI骨梗死灶边缘呈环形低信号,T2WI呈环形高信号;亚急性期X线、CT表现为小的虫噬样改变,伴有斑点状钙化,MR T1WI骨梗死灶呈等或低信号,T2WI呈等或稍高信号,T1WI骨梗死灶边缘呈环形低信号,T2WI呈环形高信号;慢性期X线、CT表现为不规则状、蜿蜒状骨质硬化,MR T1WI和T2WI均呈低信号。

Objective Otosclerosis is a disease of hereditary liability. It might be related to an autosomal dominant inheritance.

目的 探讨具有遗传倾向的耳硬化症的防治。

Before we talk about hearing aids, it is important to note that 'hearing' is defined as the process of perceiving sounds and the proper medical term for the loss of hearing is 'otosclerosis'.

在我们谈论的助听器,但必须指出的是,'听证会'是指的过程中感知声音和适当的医疗长期损失的听证会是'耳硬化症。

Methods 15 cases with otosclerosis comfirmed by operation underwent high resolution CT scanning.

目的 评估高分辨率CT在耳硬化症中的应用。

high resolution CT could clearly show the foci in the temporal bone with otosclerosis and accurately type otosclerosis.

高分辨CT可以清晰显示耳硬化症病灶,并能进行分型。

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