骨肉瘤的临床与影像学诊断(附36例分析)  

Clinical and Imaging Diagnosis of Osteosarcoma

作　　者：路淮英[1] 姜振杰[2] 宋宁宇 李传亭[4] 王德杰[4] 

机构地区：[1]山东省立医院放射科,山东济南250021 [2]山东省莱州市人民医院 [3]山东省安丘市人民医院 [4]山东省医学影像研究所

出　　处：《中国医学影像技术》2002年第8期811-812,共2页Chinese Journal of Medical Imaging Technology

摘　　要：目的　总结骨肉瘤的影像学特征 ,探讨骨肉瘤的影像学诊断与鉴别诊断。方法　收集 1991年至 2 0 0 1年经手术与病理证实的 3 6例骨肉瘤 ,回顾性地分析了其X线和CT图像。结果　 3 6例骨肉瘤的特点为 :广泛性骨质破坏和 /或增生、骨膜反应、肿瘤骨和软组织肿块。术前影像学诊断准确率为 10 0 %。结论　传统X线 ,尤其CR数字成像对骨肉瘤的综合诊断最佳 ,CT扫描在判定肿瘤的范围方面占有一定优势 ,若两者有机结合应用 。Objective To summarize the imaging signs and characteristics of osteosarcoma and to investigate the imaging and differential diagnosis of osteosarcoma. Methods In this study,36 cases of pathologically proved osteosarcoma were collected,which were encountered from 1991 to 2001, and were retrospectively analyzed with X ray plain films and CT imagings. Results The characters of 36 cases of osteosarcoma were extensive bone destruction or/and proliferation,periosteal reaction,tumor bone formation and soft tissue mass.The diagnostic accurary before operation was 100%. Conclusion Traditional X ray,especially CR digital radiography is the best choice in the synthetial diagnosis of osteosarcoma.CT scans were advantageous in showing the tumor border and neighborhood.

关 键 词：影像学 诊断 骨肉瘤 放射摄影术 体层摄影术 X线计算机 

分 类 号：R738.1[医药卫生—肿瘤] R730.4[医药卫生—临床医学]