长骨骨化性纤维瘤的影像学诊断  

Ossifying Fibroma of Long Bone:Imaging Diagnosis

作　　者：高西杰[1] 葛英霖[1] 李祖斌 

机构地区：[1]山东省聊城市第二人民医院放射科,山东临清252601 [2]临清市人民医院放射科

出　　处：《实用放射学杂志》2008年第9期1233-1235,共3页Journal of Practical Radiology

摘　　要：目的探讨长骨骨化性纤维瘤的影像学诊断价值,提高诊断正确率。方法分析16例经手术病理证实的长骨骨化性纤维瘤的影像学表现,全部病例均行X线平片检查,8例行CT检查,3例行MR检查。结果16例长骨骨化性纤维瘤X线诊断正确11例,误诊5例;CT检查正确诊断7例,误诊1例;MR检查3例,显示病变与髓腔的关系优于CT。结论CT检查能够提高长骨骨化性纤维瘤的正确诊断率,显示病变范围较传统X线清晰,对于指导临床治疗有重要意义,MR检查可作为补充。Objective To investigate radiological diagnosis of ossifying fibroma of long bone. Methods The imaging features in 16 patients with ossifying fibroma of long bone confirmed by pathology and surgery were analysed. All 16 patients underwent radiographic examinations,oF them,CT was performed in 8 patients,MR was performed in 3 patients. Results In 16 cases,ossifying fibroma was accurately diagnosed by X -ray in 11/16 cases,by CT in 7/8 cases. MR imaging was commonly superior to CT in showing the relationship between the lesions and isthmus. Conclusion CT scan can improve the diagnosis of ossifying fibroma of long bone,and is better in demonstrating the extension of fesions than X -ray plain film,which is important for guiding clinical treatment, and MRI can be used as an important supplemental method.

关 键 词：骨化性纤维瘤 长骨 X线摄影 体层摄影术 X线计算机 磁共振成像 

分 类 号：R738.1[医药卫生—肿瘤] R814.42[医药卫生—临床医学]