非骨化性纤维瘤的X线平片与CT诊断-放射学实践.PDF

2003 9 18 9 Radiol Practice, Sept 2003, Vol 18, No.9 ## X CT 张旭峰, 徐山淡, 王耀程, 白建军, 罗春海, 赵建平, 王创 = : 评价X 线平片和CT 扫描在诊断长骨非骨 性纤维瘤中的作用, 旨在提高对该病的诊断与鉴别诊断水 平: 对16 例经手术病理证实的非骨 性纤维瘤的X 线平片和CT 特征进行回顾性分析: 肿瘤部位为胫骨9 例, 股骨6 例, 腓骨 1 例肿瘤形态为卵圆形, 肿瘤的长径2.0~ 8. 0cm, 肿瘤边缘均有硬 边根据X 线平片及CT 所见分 为2 型: 皮质型或偏心型( 12 例) 和骨髓型或中心型(4 例) : 非骨 性纤维瘤的 X 线平片和CT 表现具有特征性, 对 诊断和鉴别有重要作用 = 非骨 性纤维瘤; X 线平片; 体层摄影术, X 线计算机 = R814.41; R814.42; R738. 1 = A = 1000-0313( 2003) 09-0666-03 Radiographic and CT diagnosis of non-ossifying fibroma ZHANG XU-fe g, XU Sha-da , WANG Yao-che g, et al. Departme t of Radiology, Ta gdu Hospital, the Fourth Military Medical U iversity , Xica 710038, P. R. Chi a = Abstract Objective:To evaluate radiography a d CT sca s i diag osis of o-ossifyi g fibroma of the metaphysis of lo g bo e. Methods:The radiographic a d CT fi di gs of 16 caseswith o -ossifyi g fibroma proved by operatio a d pathology o the metaphysis of lo g bo eswere a alysed retrospectively. Results:The tumors were located at tibia i 9 cases, fumur i 6, fibula i 1.The tumors were rou d or elliptical i shape with sclerotic margi s i all cases.The tumorswere from 2.0cm to 8.0cm i diameter.Accordi g to radiograph- ic a d CT fi di gs the tumors were divided i to cortical or ecce tric type i 12 cases a d medullary or ce tral type i 4 cases. Conclusion: Radiographic a d CT fi di gs of o -ossifyi g fibroma have some characteritics a d play importa t roles i the diag osis a d differe tial d-i ag osis of the tumor. = Key words No-ossifyi g fibroma; Radiography ; Tomography, X-ray computed , ( 2) ; º , , , 5 21 [1, 2] 16 , , 5 , 1 X