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编号:11274974
影像学检查在骨肿瘤诊断中的应用
http://www.100md.com 《新疆医科大学学报》 2006年第8期
骨肿瘤;,肿瘤样病变;,影像学,,骨肿瘤;,肿瘤样病变;,影像学,1资料与方法,2结果,3讨论,参考文献:
     摘要: 目的:评价X线、CT、核磁共振成像(MRI)等影像学检查方法对骨肿瘤的诊断价值。方法:回顾性分析53例骨肿瘤及肿瘤样病变患者的临床资料,53例均行X线检查,39例行CT检查,12例行MRI检查,分析不同影像学检查方法的表现。结果: 53例中良性骨肿瘤11例(骨巨细胞瘤6例,骨软骨瘤5例),恶性骨肿瘤25例(骨肉瘤14例,软骨肉瘤4例,尤文氏肉瘤2例,脊索瘤3例,淋巴肉瘤2例),转移瘤5例,肿瘤样病变12例(骨纤维异常增殖症8例,骨囊肿4例)。结论:合理应用X线平片、CT、MRI 3种影像学检查,可早期发现、早期诊断骨肿瘤,确定病变的良恶性、范围及其与周围结构的关系,为临床提供可靠治疗依据。

    关键词: 骨肿瘤; 肿瘤样病变; 影像学

    Imaging manifestations and diagnosis of bone tumor and tumor like lesions

    Muhebaiti Mahesuti, LIU Wenya, Mirigul Shayiti

    (Department of Imaging Center, First Affiliated Hospital, Xinjiang Medical University,

    Urumqi 830054, China)

    Abstract: Objective: To evaluate imaging methods,such as plain film, CT and MRI on diagnosing tumor of bone. Methods: To analyse retrospectively the imaging appearances of 53 cases with tumorlike disease or bone tumor.All cases were detected by plain film, while in them, 39 and 12 cases were also detected by CT and MRI respectively. Results: There were 11 cases with benign bone tumor (6 cases with giant cell tumor of bone and 5 cases with osteochondroma), 25 cases with malignant bone tumor (14 cases with osteosarcoma, 4 with chondrosarcoma, 2 with Ewing′s sarcoma, 3 with chordoblastoma and 2 with lymphadenosarcoma), 5 with metastatic tumor and 12 with tumorlike disease (8 with fibrous dysplasia and 4 cases with bone cyst ). Conclusion: To apply plain flim, CT and MRI properly can lead to early detection, early diagnosis and location. Furthermore, clinical treatment can be formulated according to these reliable evidences. ......

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