CT与MRI增强扫描诊断透明细胞软骨肉瘤的临床价值

The Clinical Value of CT and MRI Enhanced Scanning in the Diagnosis of Hyaline Cell Chondrosarcoma

目的研究分析CT和MRI增强扫描应用于透明细胞软骨肉瘤诊断中的临床。方法选取2017年7月-2018年7月期间,到该院就诊疑似为的透明细胞软骨肉瘤的患者90例,以随机方式分为对照与观察组,各45例,对照组采用CT增强扫描诊断,观察组患者采用MRI增强扫描诊断。对比分析两组患者透明细胞软骨肉瘤的确诊情况,透明细胞软骨肉瘤的具体部位、形态以及增强扫描征象。结果检查结果显示,对照组患者共6例(13.35%)确诊为透明细胞软骨肉瘤,观察组有8例(17.77%)确诊,两组患者的确诊率差异无统计学意义(χ2=0.560 7,P=0.771 1),透明细胞软骨肉瘤多为溶骨性破坏与点状钙化,其中对照组共有5例(83.33%)为不均匀分隔状强化,观察组则有8例(100.00%),差异无统计学意义(χ2=0.230 8,P=0.880 9)。结论 CT和MRI增强扫描应用于透明细胞软骨肉瘤临床诊断中均有较高的诊断价值,但需依据患者的实际情况对诊断方式进行灵活选择,以提升临床诊断的准确率。

Objective To investigate and analyze the clinical application of CT and MRI enhanced scanning in the diagnosis of hyaline cell chondrosarcoma. Methods A total of 90 patients suspected to be hyaline cell chondrosarcoma who were admitted to our hospital from July 2017 to July 2018 were randomly divided into the control group and the observation group, with 45 cases in each group. The control group was diagnosed by CT enhanced scan and the observation group by MRI enhanced scan. The confirmed diagnosis, the specific location, morphology and enhanced scanning signs of hyaline cell chondrosarcoma were compared and analyzed between the two groups. Results The examination results showed that a total of 6 patients(13.35%) in the control group were diagnosed with hyaline cell chondrosarcoma,and 8 patients(17.77%) in the observation group were diagnosed with hyaline cell chondrosarcoma. There was no significant difference in the diagnosis rate between the two groups(χ2=0.560 7, P=0.771 1). The clear cell chondrosarcoma was mostly osteolytic destruction and punctate calcification. Among them, there were 5 cases(83.33%) unevenly partitioned cases in the control group, and 8 cases(100.00%) in the observation group(χ2=0.230 8, P=0.880 9). Conclusion Both CT and MRI enhanced scanning are of high diagnostic value in the clinical diagnosis of hyaline cell chondrosarcoma, but it is necessary to flexibly select the diagnosis method according to the actual situation of patients, so as to improve the accuracy of clinical diagnosis.