Ninewells Hospital and Medical School, Dundee DD1 9SY, UK.
Clin Radiol. 2013 Feb;68(2):173-80. doi: 10.1016/j.crad.2012.03.021. Epub 2012 Jun 30.
The symphysis pubis is demonstrated on many conventional radiographic and cross-sectional examinations and abnormality of the symphysis pubis is a common imaging finding with numerous possible causes. Many significant disorders that affect the symphysis pubis cause it to appear widened, eroded, or destroyed on imaging studies. It is useful for radiologists to have a working differential diagnosis for these appearances, to use when reporting such studies. This review briefly describes the anatomy of the symphysis pubis and presents examples of the various developmental, inflammatory, infectious, neoplastic, traumatic, and metabolic disorders that may cause it to become widened, eroded, or destroyed. Some disorders have pathognomonic imaging features. Others give rise to similar findings that depend more on overall disease activity, rather than the specific diagnosis itself. In such cases, correlation with clinical and laboratory findings will help narrow the differential diagnosis.
耻骨联合在许多常规的放射影像学和横断面检查中都有显示，耻骨联合异常是一种常见的影像学表现，其可能有多种原因。许多影响耻骨联合的重大疾病会导致其在影像学研究中显示变宽、侵蚀或破坏。放射科医生对于这些表现有一个实用的鉴别诊断，在报告这些研究时会用到。这篇综述简要描述了耻骨联合的解剖结构，并展示了各种可能导致其变宽、侵蚀或破坏的发育性、炎症性、感染性、肿瘤性、创伤性和代谢性疾病的例子。一些疾病有特征性的影像学特征。其他疾病则会产生相似的表现，这些表现更多地取决于整体疾病活动，而不是特定的诊断本身。在这种情况下，与临床和实验室发现的相关性将有助于缩小鉴别诊断的范围。
