《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (11): 1018-1020.

• 论文 • 上一篇    下一篇

Charcot关节病的影像学表现

于卫永1，2，徐建民1，2，孙进1，2，陈振波1，2，蒋贵均1，2，王娜娜3   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心北京博爱医院影像科，北京市 100068；3.北京市海淀医院影像科，北京市 100080
  • 收稿日期:2010-09-26 修回日期:1900-01-01 出版日期:2010-11-25 发布日期:2010-11-25

Imaging Features of Charcot Neuroarthropathy: 9 Cases Report

YU Wei-yong, XU Jian-min, SUN Jin, et al   

  1. Department of Radiology, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2010-09-26 Revised:1900-01-01 Published:2010-11-25 Online:2010-11-25

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摘要： 目的分析Charcot关节病的X线、CT和MRI的影像学特征。方法搜集经临床或病理证实的Charcot关节病患者9例，分析各个受累关节的影像学表现。结果X线及CT表现：软组织肿胀9例，骨质吸收5例，骨质增生硬化7例，骨膜反应7例，关节内及关节周围骨化或钙化9例，关节脱位或半脱位4例；MRI表现：软组织肿胀、关节囊内水肿2例，骨髓水肿1例，近端骨质损伤1例;钆喷替酸葡甲胺增强扫描，肥厚关节囊及肿胀的软组织呈明显不均匀强化。1例骨显像呈团块状放射性浓聚。结论X线是诊断Charcot关节病的首选方法，CT、MRI及核素检查是X线的重要补充。

关键词: Charcot关节病, X线摄影, 体层计算机成像, 磁共振成像

Abstract: ObjectiveTo investigate the imaging findings of Charcot neuroarthropathy. Methods9 cases with Charcot neuroarthropathy determined clinically or pathologically were reviewed. ResultsThe findings of X-ray and CT including: soft tissue swelling in 9 cases, bone absorption in 5, bone proliferation in 7, periosteal reaction in 7, ectopic calcification or ossification in 9, luxation or semiluxation in 4. For MRI: soft tissue swelling, edema of joint capsule in 2, bone marrow dropsy in 1, sclerotin damage in 1. The joint capsule and periarticular soft tissue unevenly enhanced after Gd-DTPA. Nuclear medicine displayed radioactivity aggregation in 1 case. ConclusionX-rays plain film is the first choice for the diagnosis of Charcot neuroarthropathy, while CT, MRI and nuclear medicine may be helpful.

Key words: Charcot neuroarthropathy, radiography, computer tomography, magnetic resonance imaging