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中华关节外科杂志(电子版) ›› 2020, Vol. 14 ›› Issue (03) : 387 -390. doi: 10.3877/cma.j.issn.1674-134X.2020.03.025

所属专题: 经典病例 文献

个案报道

双侧骨髓水肿综合征1例报道
李勃1,(), 李富能2, 端磊1   
  1. 1. 200080 虹口,上海中医药大学附属岳阳中西医结合医院
    2. 678400 德宏州人民医院
  • 收稿日期:2019-10-22 出版日期:2020-06-01
  • 通信作者: 李勃

One case report of bilateral bone marrow edema syndrome

Bo Li1(), Funeng Li2, Lei Duan1   

  • Received:2019-10-22 Published:2020-06-01
  • Corresponding author: Bo Li
引用本文:

李勃, 李富能, 端磊. 双侧骨髓水肿综合征1例报道[J]. 中华关节外科杂志(电子版), 2020, 14(03): 387-390.

Bo Li, Funeng Li, Lei Duan. One case report of bilateral bone marrow edema syndrome[J]. Chinese Journal of Joint Surgery(Electronic Edition), 2020, 14(03): 387-390.

图1 左股骨头骨髓组织HE染色,示间隙增宽,血管周围水肿,未发现坏死骨组织。图A示骨髓间隙增宽、血管周围水肿(×200);图B示骨髓间隙增宽(×200);图C示骨髓间隙增宽血管周围水肿(×200);图D骨髓间隙增宽血管周围水肿(×200);图E骨髓间隙增宽血管周围水肿(×100)
图2 患者2018年5月入院时双髋影像学图像。图A为双髋X线正位片,示双髋正常;图B为双髋MRI冠状面T1WI像,示左侧股骨头颈部骨髓水肿;图C为双髋MRI冠状面STIR像,示左侧股骨头颈部骨髓水肿;图D为双髋MRI横截面STIR像,示左侧股骨头颈部骨髓水肿
图3 患者2018年9月复诊双髋MRI。图A为双髋MRI冠状面T1WI像,示左侧股骨头颈部无骨髓水肿;图B为双髋MRI冠状面STIR像,示左侧股骨头颈部无骨髓水肿;图C为双髋MRI横截面STIR像,示左侧股骨头颈部无骨髓水肿
图4 2019年1月就诊时双髋MRI。图A为双髋MRI冠状面T1WI像,示右侧股骨头颈部骨髓水肿;图B为双髋MRI冠状面STIR像,示右侧股骨头颈部骨髓水肿;图C为双髋MRI横截面STIR像,示右侧股骨头颈部骨髓水肿
图5 2019年6月复查双髋MRI。图A为双髋MRIT1WI像冠状面无骨髓水肿;图B为双髋MRI冠状面STIR像无骨髓水肿;图C为双髋MRI横截面STIR像无骨髓水肿
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