CAJ | 학술논문

目的：总结分析腱鞘巨细胞瘤的临床病理学及影像学特征，以提高对该病的认识和诊断准确率。方法回顾性分析2011年1月~2014年5月于我院经手术病理证实的16例腱鞘巨细胞瘤患者的影像学资料。结果传统X线检查可以显示局限性软组织肿块、骨质受压及硬化改变；CT检查可清晰地显示关节内及周围组织结构受累情况；CDFI可显示肿块的血供情况；MRI能够任意方位成像显示腱鞘巨细胞瘤的位置、形态、特征性信号、累及范围及毗邻关系。结论腱鞘巨细胞瘤的影像学表现复杂但具有特征性，综合运用各种影像学检查方法有助于术前对其进行诊断，对于临床手术治疗方案的制定具有重要的指导意义。
목적：총결분석건초거세포류적림상병이학급영상학특정，이제고대해병적인식화진단준학솔。방법회고성분석2011년1월~2014년5월우아원경수술병리증실적16례건초거세포류환자적영상학자료。결과전통X선검사가이현시국한성연조직종괴、골질수압급경화개변；CT검사가청석지현시관절내급주위조직결구수루정황；CDFI가현시종괴적혈공정황；MRI능구임의방위성상현시건초거세포류적위치、형태、특정성신호、루급범위급비린관계。결론건초거세포류적영상학표현복잡단구유특정성，종합운용각충영상학검사방법유조우술전대기진행진단，대우림상수술치료방안적제정구유중요적지도의의。
Objective To summarize and analyze the clinicopathological features and image ifndings of GCTTS (giant cell tumours of tendon sheath) so as to have a better understanding of the GCTTS and improve its diagnostic accuracy. Methods Retrospective analysis was made on the images of 16 GCTTS patients who were confirmed by surgical pathology from January 2011 to May 2014 in the hospital. Results The traditional X-ray showed the localized soft tissue mass, sclerotin compression and changes in osteosclerosis;CT made the involved conditions of the joint and the structure of its surrounded tissues revealed clearly;CDFI (Color Doppler Flow Imaging) displayed the blood supply condition of the mass;MRI gave a demonstration of the location, shape, characteristic signals, involved scope and adjacent relationship of GCTTS in random imaging directions. Conclusion The imaging findings of GCTTS were complex but had characteristic features. Combination of various imaging examination methods can be helpful to preoperative diagnosis of GCTTS, which was of great signiifcance in making the clinical treatment plan.