CAJ | 학술논문

目的探讨滑膜软骨瘤病的影像表现及诊断价值.方法回顾性分析36例经手术病理证实的滑膜软骨瘤病.36例均行相应关节X线检查,其中13例行CT检查,10例行MR检查.结果 36例滑膜软骨瘤病患者中膝关节22例,髋关节5例,踝关节3例,肩关节2例,肘关节2例,腕关节及颞颌关节各1例;单关节发病31例,双关节发病5例均为膝关节.X线及CT表现为关节间隙及周围有钙化的骨小体,少的1个,多的达数百个,小如米粒,大的直径达2.7 cm.10例MRI检查中,8例钙化结节表现为T_1WI及T_2WI呈低信号,2例钙化结节中心T_1WI及T_2WI呈高信号,周边呈低信号.结论 X线、CT及MRI对本病诊断有重要作用.
목적 탐토활막연골류병적영상표현급진단개치.방법 회고성분석36례경수술병리증실적활막연골류병.36례균행상응관절X선검사,기중13례행CT검사,10례행MR검사.결과 36례활막연골류병환자중슬관절22례,관관절5례,과관절3례,견관절2례,주관절2례,완관절급섭합관절각1례;단관절발병31례,쌍관절발병5례균위슬관절.X선급CT표현위관절간극급주위유개화적골소체,소적1개,다적체수백개,소여미립,대적직경체2.7 cm.10례MRI검사중,8례개화결절표현위T_1WI급T_2WI정저신호,2례개화결절중심T_1WI급T_2WI정고신호,주변정저신호.결론 X선、CT급MRI대본병진단유중요작용.
Objective To evaluate the radiological signs of synovial chondromatosis and the diagnostic value of radiology.Methods 36 cases with synovial chondromatosis confirmed by histology were retrospectively analyzed.All 36 cases underwent radiography and 13 of them underwent CT examinations,10 of them underwent MRI.Results The knee in 22 cases,hip in 5 cases,ankle in 3 cases,shoulder in 2 cases,elbow in 2 cases,carpal joint in one case and temporomandibular joint in one case were involved in 36 cases.Of them,one joint involved in 31 cases and bilateral knee joints involved in 5 cases.Multiple calcareous loose bodies with different sized(from several diameter to 2.7 cm)were seen inside or surrounding the joints on X-ray and CT images.In 10 cases with MR examination,the calcareous nodules were low signal intensity on both T_1WI and T_2WI in 8 cases.In other 2 cases,the center of calcareous nodules showed as high signal intensity while the rim showed as low signal intensity.Conclusion X-ray,CT and MRI are of significant value in diagnosis of synovial chondromatosis.