影像学检查在骨肿瘤诊断中的应用.docVIP

影像学检查在骨肿瘤诊断中的应用 　　作者：木合拜提?买合苏提 刘文亚, 米日古丽?沙依提 (新疆医科大学第一附属医院影像中心, 新疆乌鲁木齐830054) 　　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 Wenya， 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. 　　Key words: bone tumor; tumorlike disease; imaging 　　X线平片是诊断骨肿瘤最基本而且最为常用的主要检查方法之一，能较全面观察并能基本反映病变的特点;CT检查对X线平片上难以获得的信息显示的更加清晰，能较清楚地显示病变的细微结构，具有独特的诊断价值;MRI不仅能通过多平面成像显示细微的解剖结构及观察肿瘤与周围组织的关系，而且有助于早期发现病变。对各种影像学图像进行综合分析，可以进一步提高对骨肿瘤的早期发现和早期诊断率，确定病变性质及病变范围，为临床治疗提供可靠的依据。本文对53例骨肿瘤患者的X线、CT和MRI检查结果进行分析，旨在评价3种影像学检查在骨肿瘤诊断中的作用，现报道如下。 　　1资料与方法 　　1.1临床资料本组53例骨肿瘤及肿瘤样病变患者，男性32例，女性21例，年龄6~68岁