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骨髓炎在部短外部旋转肌肉中:CT上的时间变化
Chiaki Sato1, Akio Fujii1, Ryo Hidaka2
1Radiology, Teikyo University School of Medicine, Tokyo, JPN.
Cureus
|November 10, 2025
概括
在脑血管疾病患者中,短外部旋转肌肉 (SERM) 的胀可能导致骨髓炎. CT扫描显示时间变化从胀到化和骨化,有助于诊断和管理.
科学领域:
- 放射学 放射学是一门学科.
- 整形外科 整形外科 整形外科
- 神经学 神经学
背景情况:
- 在患有脑血管疾病的患者中,短外部旋转肌肉 (SERM) 的胀可能会进展为非创伤性骨髓炎.
- 了解骨髓炎骨质炎的时间CT发现对于准确的诊断和临床管理至关重要.
研究的目的:
- 在SERM中研究肌性骨炎的CT发现中的时间变化.
- 为这些病例提供有关诊断准确性和临床管理的见解.
主要方法:
- 在患有脑血管疾病的患者中,对1,469次盆腔CT检查 (2001-2023) 的回顾性审查.
- 选择了20名患有SERM胀的患者,其中6例 (8例关节) 进行后续CT分析.
- 胀,化 (≥100 HU) 和骨化之间的间隔的计算.
主要成果:
- 所有分析的关节都显示出化,与胀同时或顺序发生.
- 从胀到化的平均间隔为12±5.3天;从胀到骨化为112±102天.
- 受影响的部对应于的四肢侧面;所有患者都注意到初始发烧.
结论:
- CT检测结果显示,SERM胀中骨髓炎的时间进展与脑血管疾病相关.
- 在随访CT上检测SERM中的胀,化或骨化可以帮助排除感染或瘤状况.
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