2015 年第 3 期 第 13 卷

增强扫描CT值在骨巨细胞瘤诊断中的价值

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关键词：骨巨细胞瘤增强后CT值CT值增加值诊断价值

• 摘要：
• 【摘要】目的：对增强扫描CT值在骨巨细胞瘤诊断中的价值展开研究分析，为临床诊断治疗骨巨细胞瘤提供有利依据。方法：本次研究随机选取2011年5月~2013年5月期间我院接收救治的200例溶骨性骨质破坏患者，分成骨巨细胞瘤组68例，非骨巨细胞瘤组132例，分别给予增强对比剂静脉注射，包括碘海醇注射液、碘普罗胺注射液以及碘克沙醇注射液，并进行增强扫描，对两组增强后CT值、CT值增加值进行观察对比，并分析增强后CT值、CT值增加值诊断临界点及临界点对应的敏感度、特异度。结果：骨巨细胞瘤组增强后CT值（128.13±26.13），CT值增加值（89.62±33.86），非骨巨细胞瘤组增强后CT值（83.11±22.91），CT值增加值（47.83±30.19），骨巨细胞瘤组增强后CT值、CT值增加值显著高于非骨巨细胞瘤组，数据差异具有统计学意义（P均＜0.05）。结论：CT增强扫描中增强后CT值、CT值增加值在骨巨细胞瘤的临床诊断中具有良好的导向价值，临床结合患者年龄、发病位置以及形态学表现等综合因素展开判定，能够提升术前诊断正确率。
• Objective: To enhance the value in the diagnosis of giant cell tumor of bone scan CT values expand research and analysis to provide a favorable basis for clinical diagnosis and treatment of giant cell tumor of bone. Methods: This study randomly selected in May 2011 - the period May 2013 to receive hospital treatment in 200 cases of osteolytic bone destruction in patients with giant cell tumor of bone into a group of 68 cases of giant cell tumor of non-group 132 cases, were given intravenous contrast agent enhancement, including iohexol injection, injection Iopromide and iodixanol injection, and enhanced scan, the CT values of the two groups after enhancement, CT values were observed to increase the value of contrast and After analyzing the value of enhanced CT, CT diagnostic value increases the value of the critical point and critical point corresponding sensitivity and specificity. The results: CT values enhanced set of giant cell tumor of bone (128.13 ± 26.13), CT value increases the value of (89.62 ± 33.86), the non-GCT group enhanced CT values (83.11 ± 22.91), CT value increases the value of (47.83 ± 30.19), the group of giant cell tumor of bone enhanced CT values, CT value increases significantly higher than non-giant cell tumor group, the data difference was statistically significant (P <0.05). Conclusion: CT enhanced CT scans enhanced values, CT value increases the value of a good guide value in giant cell tumor of the clinical diagnosis, clinical patients' age, the incidence of a combination of factors such as location and morphological manifestations launched judgment, can improve surgery before the diagnostic accuracy.