骨肿瘤影像学与病理学的相关性研究  

The correlation between imaging and pathology of bone tumors

作　　者：王潇偲 Wang Xiaoxie(The 7th People's Hospital of Zhengzhou,Henan Zhengzhou 450000)

机构地区：[1]郑州市第七人民医院,河南郑州450000

出　　处：《辽宁医学杂志》2021年第4期36-39,共4页Medical Journal of Liaoning

摘　　要：目的探究骨肿瘤影像学与病理学的相关性。方法选取2018年1月-2019年12月我院收治的52例骨肿瘤患者作为研究对象,所有患者均行X线检查,40例接受CT检查,38例行MRI检查,分析不同检查方式患者影像学特征,并将其与病理学诊断结果予以比较,探究各影像学诊断骨肿瘤良恶性的准确率。结果X线对骨质增生、硬化、病灶边缘检出情况与CT诊断差异无统计学意义(P>0.05);CT诊断钙化灶、软组织阴影、脊柱、骨盆病灶优于X线诊断及MRI诊断(P<0.05);X线对骨膜反应具有较高的特异性;MRI对骨髓水肿特异性强,在其他方面检出情况较差。X线、CT以及MRI诊断骨肿瘤准确率分别为86.54%、90.00%、94.74%。结论骨肿瘤诊断可首选X线,速度快、操作简单,CT在细微病灶诊断中具有独特的优势,MRI对骨髓水肿特异性高,可以采用联合诊断方式,提升临床诊断准确率。Objective To explore the correlation between imaging and pathology of bone tumors.Methods From January 2018 to December 2019,our hospital as the research object,the 52 cases of bone tumor patients,all patients were performed X-ray 40 patients who underwent CT examination,38,routine MRI analysis way were examined by different imaging features,and compared with pathology diagnosis be,to explore the accuracy of imaging diagnosis of benign and malignant bone tumor.Results There was no significant difference between X-ray and CT diagnosis in the detection of hyperosteogenesis,sclerosis and lesion edge(P>0.05).CT diagnosis of calcification,soft tissue shadow,spine and pelvic lesions was significantly better than X-ray diagnosis and MRI diagnosis(P<0.05).X-ray has high specificity to periosteum reaction.MRI showed strong specificity for bone marrow edema,but poor detection in other aspects.The accuracy of X-ray,CT and MRI in the diagnosis of bone tumor was 86.54%,90.00% and 94.74%,respectively.Conclusion X-ray is the first choice for the diagnosis of bone tumor,which is fast and easy to operate.CT has a unique advantage in the diagnosis of small lesions.MRI has a high specificity for bone marrow edema.

关 键 词：骨肿瘤 影像学 X线 MRI 病理学 骨膜反应 

分 类 号：R738.1[医药卫生—肿瘤]