CAJ | 학술논문

目的探讨最适合于基层医院的单发性骨软骨瘤的影像学检查方式。方法回顾性分析62例单发骨软骨瘤病例的影像学检查，分析比较X线、CT及超声波检查的诊断结果及术前的经济消费情况，所有病例均采用手术切除治疗。结果 X线、CT检查均可以很好地诊断单发性骨软骨瘤，但X线检查不能诊断肿瘤的软骨帽及周边软组织病变。单纯超声波检查诊断单发性骨软骨瘤的能力有限，但其与CT检查一样，对肿瘤的软骨帽及周边软组织病变诊断较佳。采用“X线+超声波”检查诊断单发性骨软骨瘤的结果与CT检查并无统计学差异（P>0.05），但其产生的总费用低于CT检查所产生的费用（P<0.05）。结论 X线联合超声波检查在单发性骨软骨瘤的诊断中具有与CT检查结果相当的应用价值，还具有更为经济、简便、安全和易随访的优势，在基层医院具有推广价值。
목적탐토최괄합우기층의원적단발성골연골류적영상학검사방식。방법회고성분석62례단발골연골류병례적영상학검사，분석비교X선、CT급초성파검사적진단결과급술전적경제소비정황，소유병례균채용수술절제치료。결과 X선、CT검사균가이흔호지진단단발성골연골류，단X선검사불능진단종류적연골모급주변연조직병변。단순초성파검사진단단발성골연골류적능력유한，단기여CT검사일양，대종류적연골모급주변연조직병변진단교가。채용“X선+초성파”검사진단단발성골연골류적결과여CT검사병무통계학차이（P>0.05），단기산생적총비용저우CT검사소산생적비용（P<0.05）。결론 X선연합초성파검사재단발성골연골류적진단중구유여CT검사결과상당적응용개치，환구유경위경제、간편、안전화역수방적우세，재기층의원구유추엄개치。
Objective To explore the most appropriate imaging examinations for solitary osteochondroma in primary hospitals. Methods A retrospective evaluation was performed to analyze the imaging examinations (including X-ray, CT, and ultrasound) of 62 patients undergoing surgeries for solitary osteochondroma in terms of the diagnostic results and preoperative expenditure of the patients. Results X-ray and CT have a high diagnostic value for solitary osteochondroma, but X-ray cannot display cartilage and lesions in surrounding soft tissues. Ultrasound is limited in diagnosis of solitary osteochondroma, but performed well as CT in displaying cartilage and lesions in surrounding soft tissues. There was no statistical difference between combined X-ray and ultrasound and CT in diagnosis of solitary osteochondroma (P>0.05), but the former had a lower cost (P<0.05). Conclusion X-ray combined with ultrasound has almost comparable value with CT in the diagnosis of solitary osteochondroma and is more practical for application in primary hospitals.