Grauthoff H, Hofmann P, Lackner K, Brackmann H H
Rofo. 1978 Nov;129(5):614-20. doi: 10.1055/s-0029-1231170.
Between 1971 and 1977, 648 patients with haemophilia were seen; of these 38 had pseudo-tumours and 163 iliac haematomas. Amongst the latter 153 were cured by the administration of the appropriate factor. In ten the symptoms persisted. In the early stages the diagnosis cannot be made radiologically. Large haematomas produce indirect evidence of their presence by displacing the bladder. Particularly with small haematomas, computer tomography has proved a reliable and accurate diagnostic measure. Without treatment, a haemophilic pseudo-tumour may develop. Its radiological differential diagnosis includes malignant and benign bone tumours, inflammatory and parasitic disease. Therapy includes conservative measures (factor concentrates) or operative intervention (removal of the haematoma).
1971年至1977年间,共诊治了648例血友病患者;其中38例患有假肿瘤,163例患有髂部血肿。在后者中,153例通过给予适当的因子治愈。10例症状持续存在。在早期阶段,无法通过放射学进行诊断。大血肿通过推移膀胱产生其存在的间接证据。特别是对于小血肿,计算机断层扫描已被证明是一种可靠且准确的诊断方法。未经治疗,血友病性假肿瘤可能会发展。其放射学鉴别诊断包括恶性和良性骨肿瘤、炎症性和寄生虫性疾病。治疗方法包括保守措施(因子浓缩物)或手术干预(清除血肿)。