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1、实用放射学杂志2013年12月第29卷第12期JPractRadiol,Dec.2013,Vol.29,No.12·2005·胫骨远端骨肿瘤及肿瘤样病变的病种及影像分析李玉清,张泽坤,吴文娟,刘记存,刘杰,赵静品(河北医科大学第三医院放射科,河北石家庄050000)摘要:目的探讨胫骨远端骨肿瘤及肿瘤样病变的病种、发病比例及其影像特点。方法收集整理由病理证实的骨肿瘤及肿瘤样病变,对发生于胫骨远端的病例,分析其病种及比例、性别比例、年龄分布及常见肿瘤的影像特点。结果共4172例骨肿瘤及肿瘤样病变,发生在胫骨远端的为107例,占2.6%。良性94例,恶性13例。发病比例较高的前7位病种依次为骨
2、软骨瘤、骨巨细胞瘤、骨肉瘤、非骨化性纤维瘤、骨囊肿、骨纤维皮质缺损和动脉瘤样骨囊肿。其发病部位及影像表现均有一些各自的特点。结论胫骨远端骨肿瘤良性居多,恶性少见,综合分析不同肿瘤的发病比例及其影像特征,有助于提高胫骨远端肿瘤的诊断水平。关键词:胫骨;肿瘤;肿瘤样病变;踝关节DOI:10.3969/j.issn.1002-1671.2013.12.025中图分类号:R738.1;R814.4文献标志码:A文章编号:1002-1671(2013)12-2005-06Analysisofthetype,proportionandimagingfeaturesoftumoursandtumour
3、-likelesionsinthedistaltibiaLIYuqing,ZHANGZekun,WUWenjuan,LIUJicun,LIUJie,ZHAOJingpin(DepartmentofRadiology,theThirdHospitalofHebeiMedicalUniversity,Shijiazhuang050000,China)Abstract:ObjectiveToanalyzethetype,proportionandimagingfeaturesofthetumoursandtumour-likelesionsinthedistaltibia.MethodsThe
4、clinicdataofbonetumorsandtumor-likelesionsinthedistaltibiaconfirmedbypathologyduring1976to2011inourhospitalwerereviewed.Thetumors’typeanditsproportion,thepatients’maletofemaleratioandagerange,andthetumors’imagingfeatureswereanalyzed.ResultsAltogether107caseswerefoundinthedistaltibiaamong4172cases
5、ofbonetumorsandtumor-likelesionsandtheincidencewas2.6%.Therewere13malignantand94benignlesions.Thesevencommonle-sionsindecreasingorderwereosteochondroma,giantcelltumorofbone,osteosarcoma,nonossifyingfibroma,bonecyst,fibrouscortexdefect,andaneurysmalbonecyst.Thelocationsandimagingfeaturesofdistalti
6、biatumoursandtumour-likelesionswerecharacteristic.ConclusionBenigntumorsaremorecommonthanmalignanttumorsinthedistaltibia.Aspecificdiagnosiscanbemadeorstronglysuggestedonthebasisofcombiningthetumors’type,proportionandimagingfeatures.Keywords:tibia;tumor;tumor-likelesions;ankle胫骨远端肿瘤相对少见,国内王臻等统计的29
7、821.1临床资料回顾分析1976—2011年本院经病理例骨肿瘤及肿瘤样病变中有69例发生在胫骨远端,占证实的骨肿瘤及肿瘤样病变,对发生于胫骨远端的病[1]2.3%。国外Campanacci统计的7974例骨肿瘤及例分析其病种及所占比例、部位特征及影像特点。肿肿瘤样病变中,发生在胫骨远端的有257例,发病率为瘤原发于软组织或踝关节而侵犯胫骨远端的病例不包[2]3.2%。在以往的文献及论著中,骨关节肿瘤多以疾括在内。病为实体单位去叙述
