四肢复发性骨巨细胞瘤的超声图像特征及诊断价值  

Recurrent Giant Cell Tumor of Bone in the Extremities Ultrasonographic Features and Diagnostic Value

作　　者：王丹丹[1] 郭稳[1] 秦晓婷[1] 张淑敏[1] 于静淼[1] 赵一冰[1] 陈涛[1] Wang Dandan;Guo Wen;Qin Xiaoting;Zhang Shumin;Yu Jingmiao;Zhao Yibing;Chen Tao(Department of Ultrasound,Beijing Jishuitan Hospital,Beijing 100035,China)

机构地区：[1]北京积水潭医院超声诊断科,北京市100035

出　　处：《中国超声医学杂志》2023年第10期1168-1170,共3页Chinese Journal of Ultrasound in Medicine

基　　金：北京积水潭医院院级科研基金(No.2019-YJ05、YGQ-202217、YGQ-202303)。

摘　　要：目的 探讨四肢复发性骨巨细胞瘤的超声图像特征及超声对复发的四肢骨巨细胞瘤的诊断价值。方法 对确诊的四肢骨巨细胞瘤复发的患者资料进行回顾性分析,总结其声像图特征,统计超声检查的诊断效能。结果 超声能清楚显示复发病灶,可位于皮下、肌层或骨内,声像图表现为实性或囊实性肿物,内呈低回声或混合回声或强回声,外形多不规则,彩色多普勒血流成像呈多血供。超声诊断骨巨细胞瘤术后复发的准确度为0.93,阴性似然比为0.08。结论 四肢复发性骨巨细胞瘤超声图像表现多样。超声是诊断四肢骨巨细胞瘤复发的有效影像学方法。Objective To investigate the ultrasonographic features of the recurrent giant cell tumor of bone(GCTB)in the extremities and the diagnostic value of ultrasound.Methods The data of patients with recurrent GCTB in the extremities,were retrospectively analyzed.The ultrasonographic features were summarized and the diagnostic efficacy of ultrasound was investigated.Results Ultrasound could clearly show the recurrent lesions,which could be located subcutaneously,in the muscle layer or intraosseous.The ultrasonographic presentations showed solid or solid-cystic masses with hypoechoic or mixed echogenic or strong echogenicities.The shape was mostly irregular,and color Doppler flow imaging(CDFI)were rich in blood supply.The accuracy of ultrasound in diagnosing recurrent GCTB was 0.93,with a negative likelihood ratio of 0.08.Conclusions Ultrasonic manifestation of recurrent giant cell tumor of bone in the extremities was variable.Ultrasound is an effective imaging method for diagnosing recurrence in GCTB in the extremities.

关 键 词：超声 骨巨细胞瘤 复发 四肢 

分 类 号：R445.1[医药卫生—影像医学与核医学] R738.1[医药卫生—诊断学]