MSCT对胸壁肿瘤及肿瘤样病变的诊断价值分析  

Diagnostic Value of MSCT for Tumors in the Chest Wall and Tumor-like Lesions

作　　者：马淑华[1] 金鑫[1] 王苏亮 黎叶芳 李佳 MA Shu-hua;JIN Xin;WANG Su-liang;LI Ye-fang;LI Jia(Department of Imaging,Renhe Hospital,Beijing 102600,China)

机构地区：[1]北京市仁和医院影像科,北京102600

出　　处：《中国CT和MRI杂志》2022年第10期69-70,共2页Chinese Journal of CT and MRI

基　　金：北京市科委基金项目(2161100003915126)。

摘　　要：目的分析多层螺旋CT(MSCT)对胸壁肿瘤及肿瘤样病变的诊断价值。方法选取本院2016年4月至2019年10月收治且经手术病理或穿刺活检确诊的121例胸壁肿瘤或肿瘤样病变患者作为研究对象。观察肿瘤位置、大小、形态、密度、有无坏死、钙化及骨质改变及强化方式等特征。分析X线平片与MSCT检查诊断胸壁肿瘤或肿瘤样病变的准确率。结果121例患者中,胸壁结核48例;软组织肿瘤47例,其中脂肪瘤17例,血管瘤11例,原发性神经内分泌癌3例,梭形细胞瘤5例,纤维瘤9例,神经鞘瘤2例;骨组织肿瘤26例,其中软骨肉瘤7例,骨转移瘤11例,骨髓瘤8例。MSCT、X线平片诊断胸壁肿瘤或肿瘤样病变的准确率分别为96.69%、79.34%。结论与X线平片相比,MSCT诊断胸壁肿瘤或肿瘤样病变明显优越,可有效显示其影像学特征,综合患者影像学资料可有诊断与鉴别诊断胸壁肿瘤或肿瘤样病变。Objective To analyze the diagnostic value of multi-slice spiral CT(MSCT)for tumors in the chest wall and tumor-like lesions.Method 121 patients with tumors in the chest wall and tumor-like lesions admitted to our hospital from April 2016 to October 2019 and confirmed by surgical pathology or puncture biopsy were selected as the research subjects.The tumor location,size,shape,density,presence or absence of necrosis,calcification,bone changes,and enhancement methods were observed.The accuracy of X-ray plain film and MSCT examination to diagnose tumors in the chest wall and tumor-like lesions was analyzed.Results Among 121 patients,there were 48 cases with chest wall tuberculosis;47 cases with soft tissue tumors,including 17 cases with lipoma,11 cases with hemangiomas,3 cases with primary neuroendocrine carcinoma,5 cases with spindle cell tumor,9 cases with fibroid tumor,and 2 cases with schwannoma.There were 26 cases with bone tissue tumors,including 7 cases with chondrosarcoma,11 cases with bone metastases,and 8 cases with myeloma.The accuracy of MSCT and X-ray plain film in the diagnosis of chest wall tumors or tumor-like lesions was 96.69%and 79.34%,respectively.Conclusion Compared with X-ray plain film,MSCT is significantly superior in the diagnosis of chest wall tumors or tumor-like lesions,and can effectively display its imaging features.Combining with the patient's imaging data,chest wall tumors or tumor-like lesions can be effectively diagnosed and differentiated.

关 键 词：多层螺旋CT 胸壁肿瘤 肿瘤样病变 诊断价值 

分 类 号：R445.3[医药卫生—影像医学与核医学]