CAJ | 학술논문

目的：研究探讨孤立性纤维瘤的影像学诊断价值。方法选取我院2014年1月至2015年9月收治的被确诊为孤立性纤维瘤患者20例作为研究对象，回顾性分析患者的基本资料以及CT、MRI影像学诊断结果，将其与手术病理诊断结果进行对照。结果20例患者中经CT或者MRI共检出良性肿瘤18例，恶性肿瘤1例，诊断符合率为95﹒0%，其中良性肿瘤的诊断符合率为100﹒0%，显著高于恶性肿瘤（50﹒0%），比较有统计学差异（P＜0﹒05）。结论通过影像学诊断的一些特征性表现可以对良恶性孤立性纤维瘤进行鉴别，但恶性孤立性纤维瘤具有较高的误诊率，需要根据免疫组织化学检查及病理诊断最终确诊。
목적：연구탐토고립성섬유류적영상학진단개치。방법선취아원2014년1월지2015년9월수치적피학진위고립성섬유류환자20례작위연구대상，회고성분석환자적기본자료이급CT、MRI영상학진단결과，장기여수술병리진단결과진행대조。결과20례환자중경CT혹자MRI공검출량성종류18례，악성종류1례，진단부합솔위95﹒0%，기중량성종류적진단부합솔위100﹒0%，현저고우악성종류（50﹒0%），비교유통계학차이（P＜0﹒05）。결론통과영상학진단적일사특정성표현가이대량악성고립성섬유류진행감별，단악성고립성섬유류구유교고적오진솔，수요근거면역조직화학검사급병리진단최종학진。
Objective To study the diagnostic value of imaging diagnosis of solitary fibrous tumor.Methods: 20 patients with solitary fibrous tumor treated in our hospital from January 2014 to September 2015 were selected as the research object. The basic data of patients were retrospectively analyzed, and the diagnostic results of CT and MRI were compared. Results: 20 cases of benign tumors in 18 cases, 1 cases of malignant tumor, cases of malignant tumor, the diagnosis rate was 95%, the diagnostic accuracy of benign tumor was 100%, significantly higher than that of malignant tumor (50%), and the difference was statistically significant (P < 0﹒05)﹒Conclusion: some characteristic features of imaging diagnosis can differentiate benign and malignant solitary fibrous tumor, but it has a high misdiagnosis rate of malignant solitary fibrous tumor.