New radiographic classification of bone involvement in pedal mycetoma

New radiographic classification of bone involvement in pedal mycetoma
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DOI:
10.2214/ajr.180.3.1800665
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发表时间:
2003-03-01
影响因子:
5
通讯作者:
Abd El Bagi, ME
Abd El Bagi, ME
中科院分区:
医学2区
文献类型:
--
作者:
Abd El Bagi, ME

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客观的。本研究的目的是对足部足菌肿骨受累的模式、范围和严重程度进行分类。结论。在此分类中,0 期表示存在软组织肿胀,但不涉及骨骼。第一阶段是指外部压力对扩大的肉芽肿附近完整骨骼的影响。第二阶段是由于骨表面受到刺激而没有实际的骨内侵入所致。皮质侵蚀和中心空化发生在第三阶段。如果疾病沿单射线纵向传播,则为 IV 期;沿单行的水平传播代表第五阶段。由于不受控制的感染而导致的多向传播被归类为第六阶段。
OBJECTIVE. The purpose of this study was to classify the pattern, extent, and severity of bone involvement in mycetoma of the foot.CONCLUSION. In this classification, stage 0 indicates the presence of soft-tissue swelling without bone involvement. Stage I refers to the extrinsic pressure effects on the intact bones in the vicinity of an expanding granuloma. Stage II results from irritation of the bone surface without actual intraosseous invasion. Cortical erosion and central cavitation occur in stage III. If the disease spreads longitudinally along a single ray, stage IV is established; horizontal spread along a single row represents stage V. Multidirectional spread due to uncontrolled infection is classified as stage VI.