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腱鞘巨细胞瘤MRI诊断的影像学特点 被引量：3

MRI diagnosis of giant cell tumor of tendon sheath
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摘要 目的探讨腱鞘巨细胞瘤(giant cell tumor of tendon sheath,GCTTS)的MRI影像特点。方法回顾性分析15例经手术和病理学检查确诊的GCTTS患者的临床资料,全部病例均行MRI平扫,其中9例行增强扫描,总结其影像学特点。结果15例GCTTS患者中,局限型12例,弥漫型3例,其中2例术后复发;肿瘤发生于关节周围,T1WI上13例为低或稍低信号,2例为中等信号,T2WI上6例为高低混杂信号,5例为低信号,2例为中等信号,2例为高或稍高信号。结论 GCTTS多发生于手、足等小关节,MRI信号呈多样性,在T1WI呈特征性低信号,在T2WI呈高低混杂信号,具有较高的诊断及鉴别诊断价值。 Objective To compare clinical efficacy of minimally invasive percutaneous nephrolithotomy gravel and transurethral ureteroscopy lithotripsy on upper ureteral calculi. Methods Forty-two patients with upper ureteral calculi were randomly divided into two groups,22 patients in observation group were treated with minimally invasive percutaneous nephrolithotomy gravel,20 patients in control group were treated with transurethral ureteroscopic lithotripsy. Results Surgical success rate and stone clearance rate by one time treatment method of observation group were significantly higher than that of control group（ P 〈 0.05 ）. Hospital stay and hospitalization expense of observation group were significantly lower than those of control group （ P 〈 0.01 ）. Conclusion The efficacy of minimally invasive percutaneous nephrolithotomy gravel is better than that of transurethral ureteroscopy on upper ureteral calculi.
作者 冯宇宁 雷益 夏军 邱喜雄
机构地区 广东省深圳市第二人民医院放射科
出处 《白求恩医学杂志》 2014年第2期117-119,F0004,共4页 Journal of Bethune Medical Science
关键词 腱鞘巨细胞瘤 磁共振成像 诊断 Minimally invasive percutaneous nephrolithotomy gravel Transurethral ureteroscopic lithotripsy Upper ureteralcalculi
分类号 R738 [医药卫生—肿瘤]
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参考文献3

二级参考文献19

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共引文献14

同被引文献19

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  • 3Kitagawa Y, ho H, Amann Y, et al. MR imaging for preoperative diagnosis and assessment of local tumor exlent on localized giant cell tumor of tendon sheath. Skeletal Radiol, 2003, 32(11):633-638.
  • 4Vogrincic GS, O' ConneH JX, Gilks CB. Giant cell tumor of tendon sheath is a polyclonal cellular proliferation. Hum Pathol, 1997, 28(7):815-819.
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  • 6Jaffe HL,Lichtenstein L,Sutro CJ. Pigmented villonodular synovitis,bursitis and tenosynovitis[J]. Arch Pathol, 1941, 31 (3) : 731-765.
  • 7De Schepper AM,Hogendom PC[Bloem JL."Giant cell tumors of the tendon sheath may present radiologically as intrinsic osseous lesions[J]. Eur Radiol,2007,17(2):499-502.
  • 8Furlong MA, Motamedi K, Laskin WB ,et al. Synovial-type giant cell tumors of the vertebral column:a clinieo- pathologic study of 15 cases,with a review of the literature and discussion of the differential diagnosis[J]. Hum Pathol, 2003,34(7) .. 670-679.
  • 9Kitagawa Y, Ito H, Amano Y, et al. MR imaging for preope- rative diagnosis and assessment of local tumor extent on localized giant cell tumor of tendon sheath[J]. Skeletal Ra- diol, 2003,32(11) : 633-638.
  • 10Deschepper AM, Hogendoorn PC, Bloem JL. Giant cell tu- mors of the tendon sheath may present radiologically as in- trinsic osseous lesion[J]. Eur Radiol, 2007,12(2):499-502.

引证文献3

二级引证文献5

白求恩医学杂志
2014年 第2期

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