成软骨细胞瘤骨膜反应的影像特点.pdfVIP

• 264 • 中国医学影像技术 2008 年第 24 卷第 2 期 Chin J Med Imaging Tec也nol.2008. Vol 24 .No 2 .:.骨髓肌肉影像学 Radiological characteristics of periosteal reactions in chondroblastoma XIE Yuan-zhong , XIE Cong-hua ‘ (Deρartment of Radio-chemotheraρy. Zhongnan Hosρital. Wuhan University , Wuhan 430071. China) [Abstract] Objective To analyze radiological characteristics of periosteal reactions in chondroblastoma , and discuss the di- agnostic value. Methods Thirty-nine cases with chondroblastoma of long bone were examined with x-ray and CT. The peri- osteal reactions were paid more attention. Results Of 39 cases. The periosteal reactions were found in 24 cases. Which of 8 cases was located on the metaphysis the both sides in plain film. around the cortical bone on CT. widespread. In 5 cases. periosteal reaction and the cortical bone break place had a gap distance; in 3 cases it was located the cortical bone break place opposite side. Very widespread periosteal reaction was found in 5 cases. and assumed the irregular widespread lace shape change on CT. The periosteal reaction was accompanied by the swelling of soft tissue in 7cases. Conclusion Periosteal reac tion of chondroblastoma is high in rate. diverse in shape. widespread. not symmetric with the benign bone focus. This sign has the important value to the diagnosis and the differential diagnosis of chondroblastoma. [Key wo时s] Chondroblastoma; Periosteal reaction; Radiology 成软骨细胞瘤骨膜反应的影像特点 谢元忠，谢丛华铃 (武汉大学中南医院放化疗科，湖北武汉 43007 1) [摘 要] 目的 分析成软骨细胞瘤骨膜反应的 X 线及 CT 表现特点，探讨其诊断价值。方法 对 39 例成软骨细胞瘤的 X 线平片及 CT 资料进行回顾性分析研究，重点分析其骨膜反应的