胸部CT视频8：CT轻松看胸骨、肋骨、肋间隙

作者：云南省一院孙丹雄

继续说撬门和敲门的窍门。

CT轻松看胸骨、肋骨、肋间隙。

个人研究，如有雷同，英雄所见略同！

以下内容，随意。

Tuberculosis is the most common inflammatory lesion of the ribs, second only to metastatic neoplasm as a destructive cause of a rib lesion. 

结核病是肋骨最常见的炎症性病变，仅次于转移性肿瘤，是肋骨病变的破坏性原因。

We retrospectively analyzed CT findings of 13 lesions in eight patients with pathologically proven rib tuberculosis. 我们回顾性分析了8例经病理证实的肋骨结核患者的13个病灶的CT表现。 

The presenting symptoms were painful mass in five, chest pain in two, and nontender mass in one. Five patients had concomitant pulmonary tuberculosis. 出现的症状是5个疼痛肿块，2个胸痛，1个非肿胀肿块。 5名患者伴有肺结核。

On CT, all showed a juxtacostal soft tissue mass with central low attenuation and peripheral rim enhancement (a so called "cold abscess"). 核。 在CT上，均显示出具有中央低衰减和外周边缘增强的所谓的juxtacostal软组织肿块（所谓的“冷脓肿”）。 

Only 4 of 13 lesions demonstrated bone destruction: two were osteolytic expansile lesions with cortical disruption and two were mild cortical irregularities. 13例病变中只有4例表现为骨质破坏：2例为溶骨性扩张性病变，皮质破坏，2例为轻度皮质不规则。 

Five lesions were located at the costochondral junction, five were in the rib shaft, two were in the sternochondral junction, and one was in the costovertebral joint.  五个病变位于肋软骨交界处，五个位于肋骨中，两个位于胸骨关节，一个位于肋骨关节。 

There was no evidence of direct extension into the lung parenchyma.没有证据表明直接延伸到肺实质。

谷歌翻译牛，谷歌翻译了牛。

参考文献：

1.Lee G, Im J G, Kim J S, et al. Tuberculosis of the ribs: CT appearance[J]. J Comput Assist Tomogr, 1993, 17(3):363-366.