长骨骨肿瘤良恶性X线评分系统的临床应用价值  

Clinical value of X-ray scoring system for long bone benign and malignant tumors

作　　者：龙平秋 熊曾[2] 刘育鹏[3] 

机构地区：[1]湖南省株洲市中医伤科医院放射科,湖南株洲412007 [2]中南大学湘雅医院放射科,湖南长沙410008 [3]中南大学湘雅医院骨科,湖南长沙410008

出　　处：《中国中西医结合影像学杂志》2015年第1期23-25,28,共4页Chinese Imaging Journal of Integrated Traditional and Western Medicine

摘　　要：目的:评估自创长骨骨肿瘤良恶性X线评分系统的临床诊断价值。方法:收集126例长骨骨肿瘤或者瘤样病变患者的术前X线平片,利用自创骨肿瘤良恶性X线评分系统进行病变良恶性判断,并与术后病理诊断对比,统计评分系统诊断恶性、侵袭性及良性骨肿瘤的敏感度、特异度及准确度。结果:骨肿瘤良恶性X线评分系统诊断恶性、侵袭性及良性骨肿瘤的敏感度分别为96.88%、56.76%和96.49%;特异度分别为100%、96.62%、76.81%;准确度分别为99.20%、84.92%、85.71%。结论:长骨骨肿瘤良恶性X线评分系统能定量评价骨肿瘤的良恶性,方法简便有效。Objective：To evaluate the clinical diagnostic value of the self-created X-ray scoring system for long bone benign and malignant tumors. Methods：126 cases with long bone tumors or tumor-like lesions were collected,they all underwent X-ray preoperatively. The radiographics were evaluated by the self-created X-ray scoring system for differential diagnosis and comparing with pathologic results in order to count the diagnosis sensitivity,specificity and accuracy of the scoring system. Results：The sensitivities of the X-ray scoring system for malignant,intermediate and benign bone tumors were 96.88%,56.76% and 96.49%,respectively;the specificities were 100.00%,96.62% and 76.81%,respectively;and the accuracies were 99.20%,84.92% and85.71%,respectively. Conclusion：The X-ray scoring system for benign and malignant bone tumors of long bones can evaluate benign and malignant bone tumor in a simple and effective way.

关 键 词：骨肿瘤 放射摄影术 诊断 

分 类 号：R738.1[医药卫生—肿瘤]