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目的回顾性分析骨巨细胞瘤的临床及超声表现特征。方法回顾分析我院20例确诊为骨巨细胞瘤的患者资料,分析总结其临床及超声表现特征。结果骨巨细胞瘤超声表现为骨皮质内单发弱回声或混合回声团块,可有液化,周边常见强回声骨皮质完全或部分包绕,骨皮质多受累,血流分级多为Ⅰ~Ⅱ级。复发组边界不及初发组清楚,且更易突破骨皮质。临床分级较高者易出现液化、突破骨皮质、血供更丰富。结论超声对骨巨细胞瘤的诊断及其临床分级有较高的应用价值。
Objective To retrospectively analyze the clinical and ultrasonographic features of giant cell tumor of bone. Methods The data of 20 patients diagnosed as giant cell tumor of bone in our hospital were retrospectively analyzed. The clinical and ultrasonic features were analyzed. Results The results showed that the giant cell tumor of the giant cell tumors showed single echo or mixed echogenic mass within the cortical bone, which could be liquefied. The surrounding areas were completely or partially surrounded by strong echo cortical bone. The cortical bone was mostly involved, and the grade of blood flow was mostly Ⅰ ~ Ⅱ level. Recurrence group less clear than the initial group of border, and more likely to break through the cortex. Higher clinical classification prone to liquefaction, breakthrough cortical bone, blood supply more abundant. Conclusion Ultrasound has a high value of diagnosis and clinical grade of giant cell tumor of bone.