陕西医学杂志
陝西醫學雜誌
협서의학잡지
SHAANXI MEDICAL JOURNAL
2013年
10期
1384-1385
,共2页
张秀宾%姚晓群%杨广夫
張秀賓%姚曉群%楊廣伕
장수빈%요효군%양엄부
骨巨细胞瘤/诊断%X线/方法%体层摄影术,X线计算机/方法
骨巨細胞瘤/診斷%X線/方法%體層攝影術,X線計算機/方法
골거세포류/진단%X선/방법%체층섭영술,X선계산궤/방법
Giant cell tumor of bone/diagnosis%X-ray/methods%Tomography,X-ray computed/meth-ods
目的:探讨骨巨细胞瘤的影像学特征,提高对骨巨细胞瘤的术前诊断准确率。方法:对经手术病理证实的31例骨巨细胞瘤患者的影像学资料进行回顾性分析。结果:31例骨巨细胞瘤中,发生于长骨骨端23例,椎体5例,不规则骨3例。膨胀性破坏8例,溶骨性破坏19例,膨胀性溶骨性骨破坏4例。溶骨性骨破坏区内伴有骨嵴形成9例,膨胀性骨破坏区内均可见细小骨分隔。结论:多种影像学方法结合,可以在术前提高骨巨细胞瘤的诊断准确率,为治疗提供可靠依据。
目的:探討骨巨細胞瘤的影像學特徵,提高對骨巨細胞瘤的術前診斷準確率。方法:對經手術病理證實的31例骨巨細胞瘤患者的影像學資料進行迴顧性分析。結果:31例骨巨細胞瘤中,髮生于長骨骨耑23例,椎體5例,不規則骨3例。膨脹性破壞8例,溶骨性破壞19例,膨脹性溶骨性骨破壞4例。溶骨性骨破壞區內伴有骨嵴形成9例,膨脹性骨破壞區內均可見細小骨分隔。結論:多種影像學方法結閤,可以在術前提高骨巨細胞瘤的診斷準確率,為治療提供可靠依據。
목적:탐토골거세포류적영상학특정,제고대골거세포류적술전진단준학솔。방법:대경수술병리증실적31례골거세포류환자적영상학자료진행회고성분석。결과:31례골거세포류중,발생우장골골단23례,추체5례,불규칙골3례。팽창성파배8례,용골성파배19례,팽창성용골성골파배4례。용골성골파배구내반유골척형성9례,팽창성골파배구내균가견세소골분격。결론:다충영상학방법결합,가이재술전제고골거세포류적진단준학솔,위치료제공가고의거。
Objective :To analyze the imaging features of giant cell tumor of the bone .Methods :X-ray and CT data of 31 cases with giant cell tumor of the bone proved by operation and pathology were retrospectively ana-lyzed .Results :23 cases located in the top of long bone ,5 cases in vertebra ,3 cases in irregular bone .8 cases occured expanded bone destruction ,19 cases showed osteolysis bone destruction ,4 cases found expanded and osteolysis bone destruction .Enlargement bone crista were seen in osteolysis bone destruction in 9 cases .All 4 cases with expanded bone destruction showed tenuity septa .Conclusion:Combination X-ray and CT can show the tumor and the peripheral structures well ,and improve the diagonsis accurate rate ,and provide reliability evidence for clinic therapy plan .