Vasil'ev A Iu, Bulanova T V, Onishchenko M P
Main Clinical Hospital, Ministry of Internal Affairs of the Russian Federation.
Vestn Rentgenol Radiol. 2003 Nov-Dec(6):44-9.
The results of radiation studies in 121 patients of different age (4 to 75 years) examined for limb osteomyelitis are analyzed. All the patients underwent routine X-ray study and computed tomography (CT), 26 patients had X-ray fistulography; 8, linear tomography; 10, CT fistulography; 6, scintigraphy, and 15, ultrasound study. Acute hematogenous osteomyelitis (AHO), chronic hematogenous osteomyelitis (CHO), and atypical (here Garre's sclerosing osteomyelitis and Brodie's abscess) osteomyelitis were ascertained in 10.6, 26.4, and 10.1% of cases, respectively. Posttraumatic osteomyelitis was diagnosed in almost 50% of the patients. CT defined the phase of chronic limb osteomyelitis. Spiral CT has proven to be the most effective technique for diagnosing limb osteomyelitis as compared with routine X-ray study: the accuracy of X-ray study was 81.8%, its sensitivity, 84.9%, and specificity, 60.0% and those of computed tomography were 96.7, 99.1, and 80.0%, respectively.
分析了121例不同年龄（4至75岁）因肢体骨髓炎接受检查的患者的放射学研究结果。所有患者均接受了常规X线检查和计算机断层扫描（CT），26例患者进行了X线瘘管造影；8例进行了线性断层扫描；10例进行了CT瘘管造影；6例进行了闪烁扫描，15例进行了超声检查。急性血源性骨髓炎（AHO）、慢性血源性骨髓炎（CHO）和非典型（此处为加雷氏硬化性骨髓炎和布罗迪氏脓肿）骨髓炎分别在10.6%、26.4%和10.1%的病例中得到确诊。近50%的患者被诊断为创伤后骨髓炎。CT确定了慢性肢体骨髓炎的阶段。与常规X线检查相比，螺旋CT已被证明是诊断肢体骨髓炎最有效的技术：X线检查的准确率为81.8%，敏感性为84.9%，特异性为60.0%，而计算机断层扫描的准确率、敏感性和特异性分别为96.7%、99.1%和80.0%。
