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目的分析股骨近端肿瘤与肿瘤样病变的影像学表现,探讨其临床意义。方法搜集49例存我院接受治疗并有病理结果的患者,术前均摄髋关节X线正位片,32例行CT检查,18例行MRI检查,回顾性分析股骨近端肿瘤与肿瘤样病变的影像学表现。结果骨囊肿16例,骨纤维组织增殖症11例,骨巨细胞瘤8例,骨转移瘤5例,多发性骨髓瘤2例,嗜酸性肉芽肿2例。骨样骨瘤、内生软骨瘤、骨母细胞瘤、软骨母细胞瘤、骨肉瘤各1例,动脉瘤样骨囊肿2例均为伴发。所有病例在病变部位、数目、大小、形态、边界、内部结构、骨膜反应、软组织肿块及病理性骨折方面具有一些共性及特性。结论股骨近端肿瘤样病变较骨肿瘤好发,多种影像学方法的联合使用在诊断与鉴别诊断中具有重要作用,有利于临床选择治疗方式、防止复发及评判预后。
Objective To analyze the imaging findings of proximal femur and tumor-like lesions and to explore its clinical significance. Methods A total of 49 patients with pathological findings from our hospital were enrolled in this study. All patients underwent X-ray radiography of the hip joint before operation, CT was performed in 32 patients and MRI was performed in 18 patients. The proximal femur and tumor-like Imaging findings of lesions. Results 16 cases of bone cyst, bone fibrous tissue proliferation in 11 cases, 8 cases of giant cell tumor of bone, bone metastases in 5 cases, multiple myeloma in 2 cases, 2 cases of eosinophilic granuloma. Osteoid osteoma, endochondritis, osteoblastoma, chondroblastoma, osteosarcoma in 1 case, aneurysmal bone cyst in 2 cases were associated with. All cases had some common features and characteristics in lesion, number, size, shape, boundary, internal structure, periosteal reaction, soft tissue mass and pathological fracture. Conclusion The proximal femoral neoplastic lesions are more common than those with bone tumors. The combined use of multiple imaging modalities plays an important role in the diagnosis and differential diagnosis, which is beneficial to clinical choice of treatment, prevention of recurrence and prognosis.