成软骨细胞瘤应用X线与CT的临床诊断评价

摘要

目的：分析X线与CT扫描技术在成软骨细胞瘤应用中的临床疗效，并进行整体的比较观察。方法：选取2013年1月-2014年2月笔者所在医院收治的成软骨细胞瘤患者30例，均进行X线与CT扫描，观察两组在X线与CT扫描状态下的整体情况。结果：通过对30例患者的观察，其中，X线显示中，成软骨细胞瘤的病灶主要表现为圆形或者不规则的呈现出局限性骨破坏区，而CT显示中，病灶呈不同程度的分叶状，在边界相对清晰，呈现出半环形的钙化形式。从整个病理结果的分析来看通过病例检查，30例患者中确诊为成软骨细胞瘤的患者27例，排除3例。X线诊断呈阳性患者21例，排除9例，1例误诊为阴性，7例误诊为阳性；CT扫描诊断呈阳性患者28例，排除2例，有1例误诊呈阴性。其中，X线诊断的敏感性为96.8%(30/31)，特异性为12.5%(1/8)，CT诊断的敏感性与特异性也分别表现为97.4%(37/38)和100%(1/1)，数据采用来源临床运用数据。但是，从诊断的特异性来看，CT诊断要明显高于X线扫描，有一定的差异性。结论：在对成软骨细胞瘤的临床诊断中，采用X线与CT扫描都具有一定的优势，其中CT扫描的特异性更加占据优势，在临床诊断中能提供更加详实的数据，有利于整个病的诊断与鉴别，具有一定的优越性。%Objective:To analyze the effect of X-ray and CT scanning technique in the clinical application of chondroblastoma,and overall comparative observation.Method:Collected from January 2013 to February 2014 in our hospital 30 cases of chondroblastoma,they were given X-ray and CT scanning,two groups were observed in the X-ray and CT scanning state of the overall situation.Result:Through the observation,30 cases,X-ray,chondroblastoma lesions mainly showed round or irregular showed limited bone destruction,CT display showed different degrees of lobulated,in the relative boundary clear,showing a semi annular calcificationform.The analysis of the pathologic results,the sensitivity,X-ray diagnosis was 96.4%,the specificity was 13.5%,sensitivity and specificity of CT diagnosis was shown as the 96.6%and 98.9%.Therefore,the diagnostic sensitivity of two methods of inspection were relatively high,compared with no obvious difference.However,from the diagnostic specificity,was significantly higher than the X-rayscanning in the diagnosis of CT,there were some differences.Conclusion:In the clinical diagnosis of chondroblastoma,using X-ray and CT scanning have certain advantages,among them,the specificity of CT scan is more dominant,can provide more detailed data in clinical diagnosis,diagnosis and differential for thedisease,has a certain superiority.