摘要
目的:分析MRI弥散加权成像检测技术用于骨肌良性肿瘤、骨肌恶性肿瘤临床鉴别及诊断中的价值。方法:2017年6月-2019年8月诊断骨肌肿瘤患者50例,其中骨肌良性肿瘤25例归入试验A组,骨肌恶性肿瘤25例归入试验B组;均实行常规MRI检测+MRI弥散加权成像检测。比较两组检测结果。结果:试验A组不同弥散敏感系数下表观扩散系数数值较试验B组显著增加,差异有统计学意义(P<0.05);两组病灶最大径>5 cm、边缘欠清楚、T1信号明显大于正常肌肉、T2信号明显大于正常肌肉等例数比较,差异无统计学意义(P>0.05);试验A组肿瘤附近存在水肿、存在坏死等例数较试验B组显著减少,差异有统计学意义(P<0.05)。结论:在骨肌良性肿瘤、骨肌恶性肿瘤临床鉴别以及诊断中采用MRI弥散加权成像检测技术得到较优诊断效果。
Objective:To analyze the value of diffusion-weighted MRI in the clinical differentiation and diagnosis of benign and malignant musculoskeletal tumor.Methods:50 patients with musculoskeletal tumor were diagnosed from June 2017 to August 2019.Among them,25 cases of benign musculoskeletal tumor were classified into the group A and 25 cases of malignant musculoskeletal tumor were divided into the group B.All patients underwent routine MRI and diffusion-weighted MRI.We compared the results of the two groups.Results:The value of apparent diffusion coefficient under different diffusion sensitivity coefficients of the group A was significantly higher than that of the group B,and the difference was statistically significant(P<0.05).There was no significant difference between the two groups in the number of cases with the largest lesion diameter>5 cm,edge unclear,T1 signal significantly greater than normal muscle,T2 signal significantly greater than normal muscle(P>0.05).The number of cases with edema and necrosis near the tumor in the group A was significantly lower than that in the group B,and the difference was statistically significant(P<0.05).Conclusion:Diffusion-weighted MRI is an effective method in the clinical differentiation and diagnosis of benign and malignant malignant musculoskeletal tumor.
作者
周小玲
Zhou Xiaoling(Department of Radiology,Hunan Brain Hospital 410007)
出处
《中国社区医师》
2019年第36期137-138,共2页
Chinese Community Doctors
关键词
MRI弥散加权成像
骨肌肿瘤
良性
恶性
鉴别诊断
Diffusion weighted MRI
Musculoskeletal tumor
Benign
Malignant
Differential diagnosis
