1骨關節(jié)影像學基礎知識

2骨關節(jié)影像學檢查方法3惡性纖維組織細胞瘤Plainfilm4CT惡性纖維組織細胞瘤5MR惡性纖維組織細胞瘤6Angiography惡性纖維組織細胞瘤7PlainfilmFracture8CTOsteomyelitisChondrosarcoma9MRChondrosarcoma10骨關節(jié)正常影像學表現(xiàn)11NerverootVertebralarteryTransverseforamenIntervertebralforamenThevertebralarterygoesthroughthesixthtothefirsttransverseforamen;Thereintheseventhtransverseforamenistherootofbrachialplexus..121314151617骨基本病變的種類０1、骨質(zhì)疏松０2、骨質(zhì)軟化０3、骨質(zhì)破壞０4、骨質(zhì)增生硬化０5、骨膜增生０6、骨與軟骨內(nèi)鈣化０7、骨質(zhì)壞死０8、礦物質(zhì)沉積；０９、骨胳變形；１０、周圍軟組織病變。18是指一定單位體積內(nèi)正常鈣化的骨組織減少。組織學變化是骨皮質(zhì)變薄，骨小梁減少，哈氏管擴大。X線表現(xiàn)：骨密度減低，骨皮質(zhì)變薄，骨小梁減少。常見于老年人，骨結核，類風濕，甲旁亢骨質(zhì)疏松19骨質(zhì)疏松正常甲旁亢正常20正常老年性骨質(zhì)疏松214歲.骨結核骨質(zhì)疏松NormalOsteoporosisdenotesthatthediseaseischronicandsothatisbenign.正常22骨質(zhì)疏松Normal甲旁亢Normal23甲旁亢NormalOsteoporosisNormal骨膜下骨吸收

24骨質(zhì)疏松（hypercortisolism）Cushing綜合征25Normal骨質(zhì)疏松Normal類風濕26OsteoporosisNormal老年骨質(zhì)疏松Normal27

骨質(zhì)軟化1.定義一定單位體積內(nèi)骨組織有機成分正常，而礦物質(zhì)含量減少。組織學變化：骨小梁中央部分鈣化，外周未鈣化2.X線表現(xiàn)骨密度減低（腰椎和骨盆最明顯），骨小梁模糊，變形--下肢彎曲、骨盆畸形、假骨折線3.原因骨軟化癥（成人）佝僂?。ㄉL期）

28佝僂病Normal29佝僂病Normal30佝僂病31佝僂病Normal32佝僂病骨質(zhì)軟化癥33Normal骨質(zhì)軟化癥34

骨質(zhì)破壞骨質(zhì)破壞是局部骨質(zhì)為病理組織所替代而造成的骨組織消失，可見于炎癥，結核，腫瘤，腫瘤樣病變，缺血壞死，內(nèi)分泌疾病等35骨質(zhì)破壞Normal

骨巨細胞瘤Normal36骨質(zhì)破壞Normal骨轉(zhuǎn)移瘤Normal37骨質(zhì)破壞

脊椎結核NormalNormalNormalNormal38骨質(zhì)破壞Normal骨髓炎Normal39甲旁亢骨質(zhì)破壞NormalNormal40惡性纖維組織細胞瘤Bonedestruction41Bonedestruction非骨化性纖維瘤平片CT42BonedestructionNormal骨肉瘤Normal43NormalNormal多發(fā)性骨髓瘤Bonedestruction44NormalNormalBonedestruction骨轉(zhuǎn)移瘤45NormalNormalBonedestruction骨轉(zhuǎn)移瘤46骨質(zhì)壞死(necrosisofbone)是骨組織局部代謝的停止，壞死的骨質(zhì)稱為死骨（sequestrum)。死骨可見于化膿性骨髓炎、結核、缺血壞死、外傷、惡性骨腫瘤；以前者多見。47sequestrum骨髓炎Diedofhematosepsis

NormalNormal48骨髓炎

死骨NormalNormalNormalNormal49

死骨慢性骨髓炎50NormalNormal

死骨慢性骨髓炎51骨結核

死骨CT52

死骨骨結核53

死骨骨膿腫54sequestrum股骨頭缺血壞死55Normal舟骨缺血壞死sequestrumNormal56是指一定單位體積內(nèi)骨質(zhì)數(shù)量增多，變致密。

骨質(zhì)硬化的原因很多。骨質(zhì)硬化

57Osteosclerosis骨樣骨瘤NormalNormalNormalNormal58Osteosclerosis骨樣骨瘤59骨肉瘤骨轉(zhuǎn)移Osteosclerosis60腰椎成骨轉(zhuǎn)移

Osteosclerosis61石骨癥Osteosclerosis“l(fā)ayercake”sign62石骨癥

Osteosclerosis63Osteosclerosis骨肉瘤64慢性骨髓炎Osteosclerosis65慢性骨髓炎Osteosclerosis66

甲旁減NormalNormalOsteosclerosis67強直性脊柱炎NormalNormalOsteosclerosis68骨膜反應69PeriostealreactionFracture70Periostealreaction骨髓炎71Periostealreaction疲勞骨折72尤文氏肉瘤Periostealreaction73骨肉瘤Periostealreaction74Periostealtriangle骨肉瘤75骨膜三角（Codman三角）X-rayfilmMRI-TIWISpecimen76骨膜下血腫Periostealtriangle77靜脈曲張

Periostealtriangle78梅毒Periostealreaction79骨與軟組織內(nèi)鈣化80Ossificationinboneandcartilage軟骨肉瘤81骨梗死82Ossificationorcalcificationinboneandcartilage骨梗死83Ossificationorcalcificationinboneandcartilage骨梗死84Ossificationorcalcificationinboneandcartilage骨梗死85Ossificationorcalcificationinboneandcartilage軟骨瘤86Ossificationorcalcificationinboneandcartilage軟骨瘤87Ossificationorcalcificationinboneandcartilage軟骨肉瘤88Ossificationorcalcificationinboneandcartilage骨軟骨瘤89

礦物質(zhì)沉積90鉛中毒

Depositofmineralsalt91

Depositofmineralsalt慢性磷中毒concentriccircles92

氟骨癥Depositofmineralsalt93

骨骼變形94

Metamorphoseofbone慢性骨髓炎佝僂病95

Metamorphoseofbone96骨纖維異常增殖癥

Metamorphoseofbone97骨周圍軟組織病變98Lesionsofsofttissuearoundthebone99Lesionsofsofttissuearoundthebone100Lesionsofsofttissue