摘要
目的总结关节滑膜骨软骨瘤的X线及CT表现特征,探讨两者的诊断效果。方法选择2007年10月至2012年1月收治的60例拟诊断为关节滑膜骨软骨瘤患者,所有患者都进行X线、CT与病理观察。结果 X线表现为关节间隙、关节周围滑囊有1枚或多枚游离体。CT表现为关节内不同程度积液,可见大小不一、数目不等、形态不规则的钙化体。X线诊断的敏感性和特异性为96.4%和100.0%,CT诊断的敏感性和特异性为100.0%和75.0%,两种方法诊断效果对比差异无统计学意义(P>0.05)。结论关节滑膜骨软骨瘤多数具有较特征性的影像学表现,X线与CT表现都比较敏感与特异,但CT可以能发现X线检查不能发现的征象,具有更好的诊断价值。
Objective To summarize the x-ray and CT features of synovial osteochondroma and to explore the effects of the two diagnostic ways. Methods 60 hospitalized patients preliminary diagnosed as the synovial osteochondroma from October 2009 to January 2012 were selected, and all patients were detec- ted by the X-ray, CT, and pathology. Results X-ray showed that there were one or more pieces of loose bodies in the joint space, periarticular bursa. CT showed that there were different degree of intra-articular effusion, and a number of sizes, ranging from the irregular calcification body. The X-ray diagnostic sensitiv- ity and specificity were 96. 4% and 100. 0% , the CT diagnostic sensitivity and specificity were 100.0% and 75.0% , compared the diagnostic effect of two methods had no significant difference （ P 〉 0.05 ）. Con- clusions The majority of synovial osteochondroma have more characteristic imaging findings, X-ray and CT manifestations are more sensitive and specific and the CT can be able to find the signs that X-ray examina- tion can not be found, CT has better diagnostic value.
出处
《中国肿瘤临床与康复》
2013年第9期956-958,共3页
Chinese Journal of Clinical Oncology and Rehabilitation
关键词
关节滑膜骨软骨瘤
X线
CT
表现特征
诊断
Synovial osteochondroma
X-ray
CT
Performance characteristics
Diagnosis
