CAJ | 학술논문

目的探讨肋骨肿瘤的X线诊断。方法回顾性分析50例经病理证实的肋骨肿瘤的X线表现。结果肋骨肿瘤基本X线征象是骨破坏，良性肋骨肿瘤呈膨胀性骨破坏，边界清楚，骨皮质完整、变薄。恶性骨肿瘤表现为侵蚀样骨破坏，边界不清，呈虫蚀状，溶骨性一扫光样改变或成骨样改变。结论肋骨肿瘤可在肺野内形成异常影像，易误诊为肺及纵隔病变，阅胸片时需注意观察，分析肋骨改变。
목적탐토륵골종류적X선진단。방법회고성분석50례경병리증실적륵골종류적X선표현。결과륵골종류기본X선정상시골파배，량성륵골종류정팽창성골파배，변계청초，골피질완정、변박。악성골종류표현위침식양골파배，변계불청，정충식상，용골성일소광양개변혹성골양개변。결론륵골종류가재폐야내형성이상영상，역오진위폐급종격병변，열흉편시수주의관찰，분석륵골개변。
Objective　To study radiological diagnosis of rib tumors.Methods　Radiological feature of tumors in 50 pathologically-proved patients were retrospectively analyzed.Results　The basic radiological manifestation was bone destruction.The X-ray film of benign rib tumours showed expansive bone destruction,whose border was distinct and whose cortex of bone was intact.The X-ray film of malignant rib tumors showed erosive bone destruction,whose border was indistinct.Conclusion　Rib tumors can form abnormal image in pulmonary field and be misdiagnosed as lung or mediastinum lesion.So rib change must be analyzed carefully when chest film is observed.