CAJ | 학술논문

目的：评价骨良性纤维组织细胞瘤的临床及影像学表现，提高对该病的影像学诊断。方法复习、查阅相关文献并回顾性分析20例经病理证实的骨良性纤维组织细胞肿瘤的临床及影像学特征,所有病例均行X线平片检查,行CT扫描10例，MRI检查6例。结果20例骨良性纤维组织细胞瘤，男性16例，女性4例，发生于股骨7例、发生于胫骨8例，发生于腓骨2例，发生于尺桡骨远端2例、发生于肱骨1例，所有病例在X及CT上表现为类圆形或不规则形偏心性融骨性骨质破坏，周缘可见骨质硬化边，无骨膜反应及周围软组织肿胀，MR上表现为等T1稍长T2软组织信号影，信号较均匀，边界清晰。结论掌握骨良性纤维组织细胞瘤上述影像学表现，结合临床特点，有助于明确诊断。
목적：평개골량성섬유조직세포류적림상급영상학표현，제고대해병적영상학진단。방법복습、사열상관문헌병회고성분석20례경병리증실적골량성섬유조직세포종류적림상급영상학특정,소유병례균행X선평편검사,행CT소묘10례，MRI검사6례。결과20례골량성섬유조직세포류，남성16례，녀성4례，발생우고골7례、발생우경골8례，발생우비골2례，발생우척뇨골원단2례、발생우굉골1례，소유병례재X급CT상표현위류원형혹불규칙형편심성융골성골질파배，주연가견골질경화변，무골막반응급주위연조직종창，MR상표현위등T1초장T2연조직신호영，신호교균균，변계청석。결론장악골량성섬유조직세포류상술영상학표현，결합림상특점，유조우명학진단。
Objective Evaluate the clinical and imaging characteristic of bone benign fibrous histiocytoma (MFH), in order to improve the imaging diagnosis of the disease. Methods Retrospective analyze the clinical and imaging data of 20 cases of MFH which confirmed by pathology. All cases were performed X-ray plain film inspection, in which 10 cases underwent CT scan and 6 cases underwent MR scan. Results A total of 20 cases of bone benign fibrous histiocytoma, 16 cases of male, female 4 cases, 7 lesions located at femur, 8 lesions located at tibia, 2 lesions located at fibula, 2 lesions located at the distal radius and 1 lesioin locate at humerus. All performed round or irregular ruins of eccentric thawing bony destruction on X-ray and CT, with osteosclerosis marginal, no periosteal reaction and soft tissue swelling. The lesions performed iso-intense on TWI1 and hyper-intense on T2WI, and were homogeneous, with clear boundaries. Conclusion Master the imaging characteristic and combine the clinical manifestation helps to diagnosis BFH.