CAJ | 학술논문

目的研究脊柱骨单发嗜酸性肉芽肿的特殊X线表现，进一步提高对该疾病的诊断正确率。方法收集7例经手术、病理证实的脊柱骨单发嗜酸性肉芽肿，术前均摄脊椎正、侧位X线片。结果发生于颈椎3例、胸椎2例、腰椎2例；其特殊X线表现为附件破坏伴软组织肿块、椎体密度增高而体积不变、椎体压缩伴椎间隙狭窄和椎体囊状破坏而椎体未压缩等。结论认识它的特殊X线表现有助于诊断与鉴别诊断，同时，对该疾病的正确诊断有赖于临床、病理和X线表现相结合。
목적연구척주골단발기산성육아종적특수X선표현，진일보제고대해질병적진단정학솔。방법수집7례경수술、병리증실적척주골단발기산성육아종，술전균섭척추정、측위X선편。결과발생우경추3례、흉추2례、요추2례；기특수X선표현위부건파배반연조직종괴、추체밀도증고이체적불변、추체압축반추간극협착화추체낭상파배이추체미압축등。결론인식타적특수X선표현유조우진단여감별진단，동시，대해질병적정학진단유뢰우림상、병리화X선표현상결합。
Objective 　To study atypical radiological findings of single eosinophilic granuloma of spinal column,further raising diagnosis accuracy rate for the disease. Methods 　Collecting 7 patients who were verified by operation and pathology of single eosinophilic granuloma of vertebrae,there were X-ray films before operation every patient. Results　 Site of lesion:3 cases were located in cervical vertebrae,2 in thoracec vertebrae,2 in lumbar vertebrae.Special X-ray appearances were:spinous process destruction accompanying with soft tissue mass;density increased in vertebral body with invariable volume;Vertebral body became small and intervertebral space became narrow;vertebral body appeared osteolytic bone destruction with invariable volume. Conclusion　Recognition its special X-ray manifestations was helpful for diagnosis and differential diagnosis.Meanwhile,there must rely on a combination of clinical,pathologic and X-ray signs for correcting diagnosis.