骨膜三角及针状骨膜反应征象与骨病变良恶性的关系  

THE ASSOCIATION OF CODMAN TRIANGLE AND ACICULAR PERIOSTEAL REACTIONS WITH BENIGN AND MALIGNANT BONE DISEASES

作　　者：刘树宁 徐文坚[1] 陈海松[1] 

机构地区：[1]青岛大学附属医院放射科,山东青岛266003

出　　处：《齐鲁医学杂志》2017年第1期7-9,共3页Medical Journal of Qilu

基　　金：国家自然科学基金资助项目(81571673;816716-58);山东省科技发展计划资助项目(2011YD18021)

摘　　要：目的分析影像学检查骨膜三角、针状骨膜反应征象与骨病变良恶性的关系。方法收集行影像学检查并经病理检查证实有骨膜反应的病人897例,根据病理结果分成恶性病变组85例、良性病变组812例,比较两组骨膜三角、针状骨膜反应征象的出现情况。结果恶性病变组影像学表现为骨膜三角征象43例(50.6%),良性病变组6例(0.7%),两组比较差异有显著性(χ~2=360.6,P<0.01)。恶性病变组影像学表现为针状骨膜反应30例(35.3%),良性病变组4例(0.5%),两组比较差异有显著性(χ~2=246.1,P<0.01)。结论骨膜三角、针状骨膜反应征象在良恶性骨病变中均可出现,但多见于恶性骨肿瘤,少数情况下也可见于快速进展的多种良性骨病变。Objective To analyze the association of Codman triangle and acicular periosteal reactions in imaging examination with benign and malignant bone diseases. Methods This study consisted of 897 patients who had periosteal reactions found in imaging examination and confirmed by pathology.The patients were divided into malignant-lesion group（n=85）and benign-lesion group（n=812）according to pathological results.The appearance of Codman triangle and acicular periosteal reactions between the two groups was compared. Results Imaging features of Codman triangle and acicular periosteal reactions were noted as follows：in the malignant group,Codman triangle was found in 43cases（50.6%）,and in the benign group,it was six cases（0.7%）,the difference was significant between the two groups（χ^2=360.6,P〈0.01）.In the malignant group,acicular periosteal reactions were observed in 30cases（35.3%）,and in the benign group,it was four（0.5%）,the difference was significant（χ^2=246.1,P〈0.01）. Conclusion Codman triangle and acicular periosteal reactions can be found both in malignant and benign bone lesions,more common in malignant tumors,but in a few cases,which can also be seen in the rapid progression of a variety of benign bone lesions.

关 键 词：骨疾病 放射摄影术 体层摄影术 螺旋计算机 磁共振成像 骨膜三角征象 针状骨膜反应 

分 类 号：R445[医药卫生—影像医学与核医学]