世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
18期
48-49
,共2页
X 线平片%计算机体层摄影%成软骨细胞瘤
X 線平片%計算機體層攝影%成軟骨細胞瘤
X 선평편%계산궤체층섭영%성연골세포류
Xray plain%computed tomography%chondroblastoma
目的：对 X 线与 CT 诊断成软骨细胞瘤的价值进行探讨,提高对本病影像诊断水平。方法将2009年1月至2013年1月间在我院经 X 线或 CT 诊断的62例成软骨细胞瘤患者随机分为 X 线平片诊断组（A 组）和经 CT 诊断组（B 组），每组各31例，所有病例最终均行手术治疗并经病理证实。结果 A 组31例患者，术前诊断为成软骨细胞瘤18例，8例诊为骨巨细胞瘤，4例诊为软骨黏液样纤维瘤，1例诊为骨母细胞瘤，X 线诊断准确率58%，误诊率42%。B 组31例患者，术前诊断成软骨细胞瘤25例，3例诊为动脉瘤样骨囊肿，2例诊为骨巨细胞瘤，1例误诊为纤维肉瘤，CT 诊断正确率80%，误诊率20%。X 线显示病灶均为圆形或不规则形局限性骨破坏区,CT 显示病灶呈不同程度的分叶状,边界清楚,半环形钙化。结论 CT 由于密度分辨率高于 X 线平片，能辨别细微的骨质破坏，并能发现破坏区内的钙化灶，且可对破坏区内的组织成分进行 CT 值测量，所以其对成软骨细胞瘤的诊断准确率明显高于 X 线平片，值得临床推广应用。
目的：對 X 線與 CT 診斷成軟骨細胞瘤的價值進行探討,提高對本病影像診斷水平。方法將2009年1月至2013年1月間在我院經 X 線或 CT 診斷的62例成軟骨細胞瘤患者隨機分為 X 線平片診斷組（A 組）和經 CT 診斷組（B 組），每組各31例，所有病例最終均行手術治療併經病理證實。結果 A 組31例患者，術前診斷為成軟骨細胞瘤18例，8例診為骨巨細胞瘤，4例診為軟骨黏液樣纖維瘤，1例診為骨母細胞瘤，X 線診斷準確率58%，誤診率42%。B 組31例患者，術前診斷成軟骨細胞瘤25例，3例診為動脈瘤樣骨囊腫，2例診為骨巨細胞瘤，1例誤診為纖維肉瘤，CT 診斷正確率80%，誤診率20%。X 線顯示病竈均為圓形或不規則形跼限性骨破壞區,CT 顯示病竈呈不同程度的分葉狀,邊界清楚,半環形鈣化。結論 CT 由于密度分辨率高于 X 線平片，能辨彆細微的骨質破壞，併能髮現破壞區內的鈣化竈，且可對破壞區內的組織成分進行 CT 值測量，所以其對成軟骨細胞瘤的診斷準確率明顯高于 X 線平片，值得臨床推廣應用。
목적：대 X 선여 CT 진단성연골세포류적개치진행탐토,제고대본병영상진단수평。방법장2009년1월지2013년1월간재아원경 X 선혹 CT 진단적62례성연골세포류환자수궤분위 X 선평편진단조（A 조）화경 CT 진단조（B 조），매조각31례，소유병례최종균행수술치료병경병리증실。결과 A 조31례환자，술전진단위성연골세포류18례，8례진위골거세포류，4례진위연골점액양섬유류，1례진위골모세포류，X 선진단준학솔58%，오진솔42%。B 조31례환자，술전진단성연골세포류25례，3례진위동맥류양골낭종，2례진위골거세포류，1례오진위섬유육류，CT 진단정학솔80%，오진솔20%。X 선현시병조균위원형혹불규칙형국한성골파배구,CT 현시병조정불동정도적분협상,변계청초,반배형개화。결론 CT 유우밀도분변솔고우 X 선평편，능변별세미적골질파배，병능발현파배구내적개화조，차가대파배구내적조직성분진행 CT 치측량，소이기대성연골세포류적진단준학솔명현고우 X 선평편，치득림상추엄응용。
Objective X-ray and CT diagnostic value of chondroblastoma were discussed, and improve the imaging diagnostic level . Methods in January 2009-2013 in our hospital between January by X-ray or CT diagnosis of 62 cases of chondroblastoma patients were randomly divided into X-ray plain film in the diagnosis of group (group A) and the CT group (group B), each group of 31 cases, ultimately, all cases of surgical treatment and confirmed by pathology. Results A group of 31 patients, preoperative diagnosis of chondroblastoma 18 cases, 8 cases diagnosed as giant cell tumors of bone, cartilage myxoid fibroma, 4 cases were diagnosed as tumor, 1 case was diagnosed as bone X-ray diagnosis accuracy rate 58%, the misdiagnosis rate was 42% in group B, 31 patients, preoperative diagnosis of chondroblastoma 25 cases, 3 cases were diagnosed as aneurysm bone cyst, 2 cases were diagnosed as giant cell tumors of bone, 1 case was misdiagnosed as fibrosarcoma, CT diagnostic accuracy of 80%, the misdiagnosis rate 20% X-ray showed lesions were round or irregular limitations of bone destruction area, CT showed lesions with different degree of lobulated, border and clear, half annular calcification. Conclusion due to the density resolution higher than X-ray plain film, CT can discern subtle bone destruction, and can be found that damage zone calcifications, and to destroy the organization composition CT value in the measurement, so the diagnostic accuracy of chondroblastoma is significantly higher than X-ray plain film, worthy of clinical popularization and application.
