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目的探讨各种影像学方法对瘤原性佝偻病致病肿瘤的定位诊断价值。方法回顾性分析13例瘤原性佝偻病的临床资料及相关影像学检查结果,与手术及病理结果对照。结果肿瘤均为单发,大小1~7cm;骨组织来源肿瘤9例,软组织来源肿瘤4例。多种影像学检查的联合应用发现和准确定位所有致病肿瘤。11例行奥曲肽显像,所有肿瘤均定位正确;在接受超声检查的8个肿瘤中,定位正确6个,另2个未显示;接受MRI(n=5)和CT检查(n=6)的肿瘤均定位正确。通过超声导向注射染料定位成功地帮助手术切除3个小肿瘤。结论多种影像学方法的综合应用对本病的临床诊治具有重要价值。
Objective To investigate the diagnostic value of various imaging methods in the diagnosis of tumorous rhabdomyosarcoma. Methods Retrospective analysis of 13 cases of tumorous rickets in the clinical data and related imaging findings, and surgical and pathological results of the control. Results The tumors were single, size 1 ~ 7cm; bone tissue derived tumors in 9 cases, 4 cases of soft tissue-derived tumors. The combined use of multiple imaging findings finds and accurately locates all pathogenic tumors. Eleven patients underwent octreotide imaging and all tumors were located correctly. Six of the eight tumors undergoing ultrasound examination were correctly positioned and the other two were not shown. MRI (n = 5) and CT (n = 6) Tumors are located correctly. Ultrasound-guided injection of dye successfully assisted in the surgical removal of three small tumors. Conclusion The comprehensive application of multiple imaging methods is of great value in the clinical diagnosis and treatment of this disease.