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MRI manifestations and pathological types of rice bodies formed with tuberculous tenosynovitis of flexor tendons in the wrist

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Author:
No author available
Journal Title:
Chinese Journal of Radiology
Issue:
3
DOI:
10.3760/cma.j.cn112149-20220303-00198
Key Word:
腕关节;磁共振成像;结核性腱鞘炎;米粒体

Abstract´╝Ü 回顾性分析2015年6月至2022年2月贵州省人民医院15例经手术病理确诊为结核性腕屈肌腱鞘炎伴米粒体的临床、影像及病理资料。15例X线片示腕掌部肿胀,CT示腕掌部“葫芦”形低密度肿块,MRI示腱鞘滑膜炎,大量米粒体形成,与滑液信号比较,米粒体在各序列均呈低信号,呈“铺路石”或“蜂窝”样,3例伴结核性腕关节炎。7例Ⅰ型米粒体为结核性肉芽肿,8例Ⅱ型米粒体为嗜酸性蛋白。“铺路石”或“蜂窝”征是滑膜炎伴米粒体形成的重要影像征象。

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