脊椎骨巨细胞瘤的X线诊断(附23例分析)  

The value of X-ray in the diagnosis of giant cell tumor of the spinal: report of 23 cases

作　　者：王世芳[1] 付延森 华敬亮 周万勇[1] 马玉[1] 

机构地区：[1]山东省荣军总医院放射科,山东济南250013

出　　处：《医学影像学杂志》2007年第9期971-973,共3页Journal of Medical Imaging

摘　　要：目的:评价X线检查对脊椎骨巨细胞瘤的诊断价值。方法:对经手术病理证实的23例脊椎骨巨细胞瘤的X线特点进行回顾性分析。23例均行X线平片检查,其中5例行CT扫描。结果:颈椎6例,胸椎11例,腰椎4例,骶椎2例,以胸椎为好发。主要X线表现为偏心性溶骨性、膨胀性骨破坏,依据病灶内有无分隔状骨嵴,分多房型和溶骨型,病灶内无钙化,外无硬化缘。结论:平片仍可作为诊断本病的首选方法。CT和MRI可提供更多信息,对提高本病诊断有重要价值。Objective： To study the value of X-ray in the diagnosis of giant cell tumor of the spinal （GCT of the spinal）. Methods： X- ray findings of 23 GCT of the spinal cases proved by surgery and pathology were analyzed retrospectively. All of the 23 patients underwent X-ray examinations. CT was performed in 5 of them. Results：Of the 23 cases, there were 6 cases with tumors at cervical spine, 11 at thoracic, 4 at lumbar, and another 2 at sacrum. Among the total, the thoracic was the predilection site. The prominent X-ray images showed eccentric growth osteolytic destruction of vertebral body with definite expansion. Multi-room type or osteolysis type was determined by the presence of inpoesonle of bone shell inside the tumor. There was no calcification inside the tumor and, without the sclerotic mar- gin. Conclusion：X-ray film may still be the first selection, cr and MRI are of significant value and play an important role in the diagnosis of this disease.

关 键 词：椎骨 巨细胞瘤 X线诊断 

分 类 号：R738.1[医药卫生—肿瘤] R814.41[医药卫生—临床医学]