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目的:探讨X线及CT在骨转移瘤诊断中的应用价值。方法:选取我院收治的53例骨转移瘤患者为研究对象,所有患者均给予X线和CT进行诊断,并对诊断结果进行统计学分析。结果:骨转移率中排名第一的是肺癌,骨转移率排名第二的是乳腺癌,骨转移率排名第三的是鼻咽癌,高于其他原发肿瘤的转移率(P<0.05),其中以脊柱、肋骨、骨盆最为常见;发生骨破坏的骨转移瘤患者多表现在溶骨型,且X线骨破坏诊断率56.60%低于CT诊断率100%(P<0.05)。结论:针对骨转移瘤X线与CT都可以做出诊断,二者比较,已出现病理性骨折的患者更适用于X线,已确诊原发肿瘤的患者更适用于CT进行下一步诊断。因而,应根据患者的具体临床情况而选择不同的诊断方法进行诊断,以降低误诊率。
Objective: To investigate the value of X-ray and CT in the diagnosis of bone metastases. Methods: Fifty-three patients with bone metastases treated in our hospital were enrolled in this study. All patients were diagnosed by X-ray and CT, and the diagnostic results were statistically analyzed. Results: The highest bone metastasis rate was lung cancer, the second was bone metastasis, and the third was bone metastasis rate of nasopharyngeal carcinoma, which was higher than that of other primary tumors (P <0.05) , Of which spine, ribs and pelvis were the most common. Patients with bone metastases with bone destruction were mostly osteolytic and the diagnostic rate of X-ray destruction was 56.60% lower than that of CT (100%, P <0.05). Conclusion: The diagnosis of bone metastases can be made both by X-ray and CT. Compared with those with pathological fractures, the patients with pathological fractures are more suitable for X-ray. Patients with confirmed primary tumors are more suitable for further diagnosis of CT. Therefore, should be based on the specific clinical situation of patients and choose different diagnostic methods for diagnosis, to reduce the misdiagnosis rate.