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1
参考中文标题:
Angioleiomyoma :磁共振成像功能一十箱子。
PMID及链接:
18581112 http://www.syyxw.com/Archive/Detail/18581112
摘 要:
OBJECTIVES: Angioleiomyoma is a rare, benign smooth muscle tumour arising from the tunica media of small veins and arteries and can occur anywhere in the body. The histological appearances are well documented, but there are relatively few descriptions of the magnetic resonance imaging (MRI) findings. MATERIALS AND METHODS: A retrospective study of the clinical presentation, MRI appearances and histological findings of ten angioleiomyomas presenting as extremity soft tissue masses. RESULTS: MRI typically demonstrated a well-defined, oval mass located superficial to the fascia with the commonest sites being the hand (three cases) and ankle/foot (five cases). The lesion was isointense to muscle on T1-weighted spin echo images with heterogeneous increased internal T2W/short tau inversion recovery (STIR) signal intensity, which commonly appeared as multiple linear or branching areas of hyperintensity. Enhancement after IV gadolinium ranged from diffuse to heterogeneous. In a single case, central fat signal intensity was seen, while a further case showed marked T2W/STIR hypointensity due to diffuse hyalinisation within the lesion. CONCLUSIONS: This is the largest reported MRI series of extremity musculoskeletal angioleiomyoma. Angioleiomyoma should be considered in the differential diagnosis of a superficial mass in the hand or foot, particularly when characteristic linear or branching hyperintensity is seen on T2W or STIR images.
参考中文摘要:
目的: Angioleiomyoma是一种罕见的良性平滑肌瘤引起的膜媒体小静脉和动脉,就可能发生在身体的任何地方。组织学表现是有案可稽的,但也有相对较少的说明磁共振成像( MRI )的调查结果。材料与方法:回顾性研究的临床表现, MRI表现和病理结果的10 angioleiomyomas提出的下肢软组织肿块。结果:磁共振成像通常表明一个明确的,椭圆形的大规模位于表浅的筋膜与常见地点的手( 3件) ,踝/英尺( 5例) 。病灶是isointense肌肉的T1加权自旋回波图像异构增加内部T2W/short反转恢复(搅拌)信号强度,这通常出现多重线性或分支领域的高。强化四钆不等弥漫到异构。在一个单一的情况下,中央脂肪信号强度,看到,而更多的个案显着T2W/STIR低由于弥漫hyalinisation内病变。结论:这是最大的MRI系列报道下肢肌肉骨骼angioleiomyoma 。 Angioleiomyoma中应考虑的鉴别诊断的表面质量的手或脚,尤其是当特性线性或分枝高是看到T2加权或搅拌图像。
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2
参考中文标题:
射频消融治疗软骨母细胞瘤:程序技术,临床和磁共振成像后续的4起案件。
PMID及链接:
18641981 http://www.syyxw.com/Archive/Detail/18641981
摘 要:
PURPOSE: The aim of this study is to describe the procedure technique, clinical and imaging outcomes of patients treated with radiofrequency ablation for chondroblastoma. MATERIALS AND METHODS: Four patients (female/male, 3:1; mean age, 13 years; age range; 9-16 years) underwent the procedure. All had pre-operative magnetic resonance imaging (MRI) and symptomatic, biopsy-proven chondroblastomas (two proximal femur, two proximal tibia). The lesion size ranged from 1.5 to 2.5 cm in maximal dimension (mean size, 1.8 cm). Bone access was gained with a Bonopty biopsy needle system (mean number of radiofrequency needle placements, 5; mean ablation time, 31 min). RESULTS: Clinical and MRI follow-up was available in all cases (mean, 12.25 months; range, 5-18 months). All patients reported resolution of symptoms at 2-6 weeks post ablation. At their most recent clinical follow-up, three patients remained completely asymptomatic with full return to normal activities and one patient had minor local discomfort (different pain pattern) that was not limiting activity. All four patients' follow-up MRI studies demonstrated resolution of the oedema pattern around the lesion and temporal evolution of the internal signal characteristics with fatty replacement. CONCLUSION: Radiofrequency ablation for chondroblastoma provides an alternative to surgical curettage, and we have demonstrated both a clinical improvement in symptoms and the follow-up MRI appearances.
参考中文摘要:
目的:本研究的目的是描述程序的技术,临床和影像学结果患者射频消融治疗软骨母细胞瘤。材料与方法: 4例(女/男, 3:1 ;平均年龄13岁;年龄范围; 9-16岁)接受手术。所有的术前磁共振成像( MRI )和症状,活检证实chondroblastomas ( 2股骨近端,两个胫骨近端) 。病灶大小不等从1.5 2.5厘米的最大尺寸(平均粒径, 1.8厘米) 。骨准入,获得了Bonopty活检针系统(平均人数射频针位置, 5 ;平均消融时间, 31分钟) 。结果:临床与MRI的后续行动是适用于所有情况(意思是说,一十二点二五个月;范围5-18个月) 。所有患者的症状在第2-6周后消融。在最近的临床随访, 3例完全无症状仍充分恢复正常活动和一个小的地方病人不适(疼痛不同模式)这不是限制的活动。所有4名患者随访MRI研究表明解决模式周围水肿病变和时空演化的内部信号特征脂肪替代。结论:射频消融治疗软骨母细胞瘤提供了一种替代手术刮除,我们已经表明了临床症状的改善和后续MRI表现。
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3
参考中文标题:
外科评价磁共振成像结果在梨状肌肌综合征。
PMID及链接:
18622605 http://www.syyxw.com/Archive/Detail/18622605
摘 要:
OBJECTIVE: The objective of this study was to evaluate the accuracy of magnetic resonance imaging (MRI) in the diagnosis of the piriformis muscle syndrome (PMS). MATERIALS AND METHODS: In ten patients, seven female and three male, with a long history of clinical symptoms of the PMS, an MRI was performed as the last preoperative diagnostic tool. All patients were imaged using 2T MR system (Elscint, Haifa, Israel). Axial and coronal spin-echo, fast spin-echo (FSE), and fat-suppressed FSE-weighted images were made through the pelvic region with 3-mm section thickness and a 0.5-mm gap to show the whole piriformis muscle and the course of sciatic nerve on its way out of the pelvis. A routine examination also included axial fast spin-echo T2, three-dimensional gradient echo. RESULTS: In seven cases, an MRI abnormality for the PMS was found. In two women, the MRI demonstrated a bigastric appearance of the piriformis muscle with a tendinous portion between the muscle heads and the course of the common peroneal nerve through the muscle between the tendinous portions of the muscle. In one female patient, the common peroneal nerve passed through the hypertrophied piriformis muscle. In four patients, the MRI showed a hypertrophied aspect of the piriformis muscle and an anteriorly displaced sciatic nerve. All MRI findings were confirmed surgically. In three patients, no apparent abnormalities could be observed, but after a surgical treatment, i.e., a tenotomy of the piriformis muscle and neurolysis of the sciatic nerve, all symptoms disappeared. CONCLUSION: In piriformis muscle syndrome, MRI may demonstrate signal abnormalities of the sciatic nerve as well as its relationship with the normal and abnormal piriformis muscle.
参考中文摘要:
目的:本研究的目的是评估的准确性,磁共振成像( MRI )诊断肌肉的梨状肌综合征(经前综合症) 。材料与方法: 10例, 7名女性和3名男性,具有悠久历史的临床症状,经前综合症,接受核磁共振检查进行的最后一次术前诊断工具。所有病人均使用反潜磁共振成像系统(埃尔辛特,以色列海法) 。轴向和日冕自旋回波,快速自旋回波股份公司( FSE )和脂肪抑制序列加权图像都是通过骨盆区域的3毫米厚度节和0.5毫米的差距,以显示整个梨状肌肌肉和课程坐骨神经其出路骨盆。常规检查还包括轴向快速自旋回波T2的三维梯度回波。结果: 7起案件中,接受核磁共振检查异常的经被发现。在两个妇女, MRI检查显示出bigastric外观梨状肌肌肉与肌腱部分肌肉之间的元首和的过程中,腓总神经通过肌肉之间的腱部分的肌肉。在一个女性病人,腓总神经通过肌肉肥厚梨状肌。 4例, MRI检查显示,该肥厚方面的梨状肌肌和anteriorly流离失所坐骨神经。所有MRI检查证实手术。 3例,无明显异常可观察,但经过手术治疗,即断腱的梨状肌肌肉和神经坐骨神经,所有症状消失。结论:在梨状肌肌综合征, MRI检查可显示信号异常坐骨神经以及它与正常和异常梨状肌肌肉。
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4
参考中文标题:
总数和区域骨矿含量的健康西班牙语科目的双能X线骨密度。
PMID及链接:
18594812 http://www.syyxw.com/Archive/Detail/18594812
摘 要:
design: this is an observational cross-sectional study. objective: the aim of the present study was to describe and analyze patterns of change in total and regional bone mineral content in relation to age and gender in a sedentary spanish sample population (from the community of madrid). the age range of the sample population was from birth to 80 years. materials and methods: one thousand one hundred twenty healthy subjects were recruited and divided into 16 groups according to age. each subject underwent whole-body densitometry using dual-energy x-ray absorptiometry. an analysis was made of the amount of bone mineral content (bmc) in the whole body and in different regions: the head, trunk, upper limbs, and lower limbs. results: gender differences in mean values for upper limbs and lower limbs are statistically significant between 16 and 70 years of age. for the head and trunk, the mean bmc values show the most significant gender differences between 16 and 25 years of age (p </= 0.001). total bone mineral content (tbmc) and tbmc-to-height ratio show significant gender differences between 16 and 70 years of age. in females, tbmc values increase up to 20 years of age and in males up to 25 years of age. conclusion: we have determined an evolutionary normal pattern of bone mineral content in urban spanish people.
参考中文摘要:
设计:这是一个观测横断面研究。目的:本研究是描述和分析模式的变化和区域总骨矿含量与年龄和性别在西班牙定居人口抽样(从马德里) 。的年龄范围的抽样人口是从出生到80岁。材料与方法: 1120正常人招募分为16组按年龄。每个主题进行全身密度使用双能X线骨密度。分析了金额的骨矿含量( BMC的)在整个机构和在不同的区域:头部,躯干,上肢,下肢。结果:性别差异的平均值为上肢和下肢的统计学16至70岁。头部和躯干,平均的BMC值显示性别差异的最重要的16至25岁( p </= 0.001). total bone mineral content (tbmc) and tbmc-to-height ratio show significant gender differences between 16 and 70 years of age. in females, tbmc values increase up to 20 years of age and in males up to 25 years of age. conclusion: we have determined an evolutionary normal pattern of bone mineral content in urban spanish people.
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5
参考中文标题:
囊性在一名18岁女孩大腿质量:诊断和讨论。
PMID及链接:
18758770 http://www.syyxw.com/Archive/Detail/18758770
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6
参考中文标题:
慢性淋巴细胞白血病/小淋巴细胞淋巴瘤提出为化脓性关节炎的肩膀上。
PMID及链接:
18521594 http://www.syyxw.com/Archive/Detail/18521594
摘 要:
We report a case of a 53-year-old man presenting with shoulder pain mimicking septic arthritis. Laboratory findings were atypical. Biopsy performed to assess for possible osteomyelitis demonstrated chronic lymphocytic leukemia/small lymphocytic lymphoma. Intra-articular lymphoma is a rare but important consideration in patients with atypical clinical presentation. Imaging alone may be insufficient to render diagnosis as lymphoma can mimic infection, synovial hypertrophic processes, and depositional arthropathy.
参考中文摘要:
我们报告一例53岁男性与肩部疼痛酷似化脓性关节炎。化验结果不典型。活检进行评估可能骨髓炎表明慢性淋巴细胞白血病/小淋巴细胞淋巴瘤。关节内淋巴瘤是一种罕见的,但重要的考虑因素例非典型临床表现。影像单独可能不足以使诊断为淋巴瘤可以模仿感染,滑膜肥厚过程,和沉积关节病。
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7
参考中文标题:
一种致命的形式哥尔罕伴有广泛的肌肉骨骼气:病例报告及文献复习。
PMID及链接:
18629462 http://www.syyxw.com/Archive/Detail/18629462
摘 要:
We report here the imaging findings of a rare case of a lethal form of Gorham disease in a young female patient. Multimodality imaging findings over 13 year-follow-up demonstrated progressive wide spread skeletal and soft tissue abnormalities with permeative osteolysis, pathological fractures and severe skeletal deformities. Unusual extensive osseous and soft tissue pneumatosis was illustrated on cross-sectional studies. The progressive nature of this form of Gorham disease and the subsequent complications eventually culminated in patient's death.
参考中文摘要:
我们在这里报告的影像学表现一例罕见的致命形式的哥尔罕疾病在年轻女性患者。多模态成像结果超过13年的后续行动表明逐步广泛骨骼及软组织异常permeative溶骨,病理性骨折和严重的骨骼畸形。不寻常的广泛的骨与软组织气体现在横断面研究。累进性质的这种形式的哥尔罕疾病和随后的并发症,最终导致病人的死亡。
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8
参考中文标题:
原发性腺泡状软组织肉瘤的腓骨表明aspl - tfe3融合:病例报告及文献复习。
PMID及链接:
18594808 http://www.syyxw.com/Archive/Detail/18594808
摘 要:
alveolar soft part sarcoma is a rare soft tissue tumor typically affecting young adults. these tumors are most often seen in the deep soft tissues of the extremities and patients generally present with advanced disease. primary bone involvement is extremely rare and has only been reported in seven cases. this is the first case of alveolar soft part sarcoma in bone documenting the aspl-tfe3 gene product. herein, we report a rare presentation of alveolar soft part sarcoma presenting as a primary bone neoplasm involving the proximal fibula in a 41-year-old woman.
参考中文摘要:
腺泡状软组织肉瘤是一种罕见的软组织肿瘤通常会影响到年轻的成年人。这些肿瘤是最常见的深部软组织的四肢和病人一般目前拥有先进的疾病。原发性骨的参与是极其罕见的,只是报告了7起案件。这是第一例腺泡状软组织肉瘤骨记录aspl - tfe3基因产物。在此,我们提出一种罕见介绍腺泡状软组织肉瘤提出作为一个主要的骨肿瘤近端腓骨涉及的41岁女子。
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9
参考中文标题:
反相位成像的脂质沉积性肌病1例Chanarin - Dorfman病。
PMID及链接:
18682927 http://www.syyxw.com/Archive/Detail/18682927
摘 要:
Chanarin-Dorfman disease (CDD) is a rare genetic disorder characterized by ichthyosis, myopathy, central nervous system disturbances, and intracellular lipid storage in muscle fibers, hepatocytes, and granulocytes. We describe skeletal muscle magnetic resonance imaging findings in a case of CDD, outlining the potential role of GE T1-weighted opposed-phase sequence (chemical shift imaging) in the evaluation of lipid storage myopathies.
参考中文摘要:
Chanarin - Dorfman病(腹泻)是一种罕见的遗传性疾病的特点是鱼鳞病,病,中枢神经系统的干扰,并储存在脂肪细胞内肌纤维,肝细胞,并粒。我们描述骨骼肌磁共振成像结果的案件防治,概述的潜在作用葛T1加权反相位序列(化学位移成像)在评价脂质存储肌病。
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10
参考中文标题:
毒性滑膜炎。
PMID及链接:
18594806 http://www.syyxw.com/Archive/Detail/18594806
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11
参考中文标题:
腰椎疾病的椎旁肌肉:从病理横断面影像。
PMID及链接:
18463867 http://www.syyxw.com/Archive/Detail/18463867
摘 要:
Paravertebral lumbar muscles are important for spine stabilization and mobility. They may be abnormal in several disorders that may be associated with pain or functional impairment. Special attention should be paid to the paravertebral muscles during imaging, so that a possible muscular disease is not overlooked, especially in patients with low back pain. This article reviews such imaging abnormalities.
参考中文摘要:
椎旁腰椎肌肉是非常重要的脊柱稳定和流动性。他们可能会在一些异常的疾病可能与疼痛或功能障碍。应特别注意的椎旁肌肉在成像,从而使肌肉疾病有可能是不被忽视,尤其是在患者腰背痛。本文综述这种成像异常。
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12
参考中文标题:
超音波的痛苦肩膀:作用的运营商的经验。
PMID及链接:
18651142 http://www.syyxw.com/Archive/Detail/18651142
摘 要:
OBJECTIVE: The aim of our study was to determine the role of the operator's experience in the sonographic evaluation of the painful shoulder and to validate assumptions about its technical performance in routine practice. MATERIALS AND METHODS: Two radiologists, respectively standard and expert sonographic operators, independently and prospectively scanned 65 patients with clinical suspicion of rotator cuff lesion. Magnetic resonance arthrography was the reference standard. RESULTS: The sensitivity of the expert ultrasound operator was 95.3% for full-thickness rotator cuff tears (41/43), 70.6% for partial-thickness tears (12/17), 64.3% for intratendinous tears (9/14), 100% for abnormality of the long head of biceps tendon (seven of seven), 88.9% for supraspinatus tendinosis (16/18), 96.4% for subacromial bursa abnormalities (53/55), and 91.7% for acromioclavicular joint osteoarthritis (33/36). The two sonographic operators were in very good agreement about full-thickness rotator cuff tears (kappa = 0.90), supraspinatus tendinosis (kappa = 0.80), abnormalities of the long head of biceps tendon (kappa = 0.84), subacromial bursa abnormalities (kappa = 0.89), and acromioclavicular osteoarthritis (kappa = 0.81). The agreement was only moderate for partial-thickness tears (kappa = 0.63) and intratendinous tears (kappa = 0.57). CONCLUSIONS: Our results show that in moderately experienced hands as in experts' hands, sonography has a low level of interobserver variability for full-thickness rotator cuff tears. Considering partial-thickness and intratendinous rotator cuff tears, our data suggest that interobserver variability is higher.
参考中文摘要:
目的:我们的研究是确定的作用,运营商的经验,超声评价痛苦肩膀,以验证假设,其技术性能在例行的做法。材料与方法:两个放射,标准和专家分别超声运营商,独立和前瞻性扫描65例临床怀疑肩袖损伤。磁共振造影的参考标准。结果:灵敏度的专家超声运营商95.3 %的全层肩袖的眼泪(第41/43 ) , 70.6 %的部分厚度眼泪( 12/17 ) , 64.3 %的intratendinous眼泪( 9月14日) , 100 %的异常二头肌长头肌腱( 7 7 ) , 88.9 %的冈上尖末端病( 16/18 ) , 96.4 %的肩峰下滑囊异常( 53/55 )和91.7 %的肩锁关节骨性关节炎(三十六分之三十三) 。两个经营者在超声非常好的协议全层肩袖撕裂( Kappa值= 0.90 ) ,冈上尖末端病( Kappa值= 0.80 ) ,异常的二头肌长头肌腱( Kappa值= 0.84 ) ,肩峰下滑囊异常( Kappa值= 0.89 ) ,和肩关节炎( Kappa值= 0.81 ) 。该协议只是温和的部分厚度眼泪( Kappa值= 0.63 )和intratendinous眼泪( Kappa值= 0.57 ) 。结论:我们的结果表明,在经历了温和的手在专家们的手,超声具有低水平interobserver变异为全层肩袖眼泪。考虑到部分厚度和intratendinous肩袖眼泪,我们的数据表明, interobserver变异较高。
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13
参考中文标题:
MRI表现少年银屑病性关节炎。
PMID及链接:
18594809 http://www.syyxw.com/Archive/Detail/18594809
摘 要:
objective: the aim of this study was to describe the magnetic resonance imaging (mri) features of juvenile psoriatic arthritis (jpsa) in children in order to facilitate early diagnosis and proper management. materials and methods: two pediatric radiologists retrospectively reviewed in consensus a total of 37 abnormal mri examinations from 31 pediatric patients (nine boys, 22 girls; age range 1-17 years; mean age 9.4 years) who had a definite diagnosis of jpsa and underwent mri. each mri was evaluated for synovium abnormality (thickening and enhancement), joint effusion (small, moderate, and large), bone marrow abnormality (edema, enhancement, and location of abnormality), soft tissue abnormality (edema, enhancement, atrophy, and fatty infiltration), tendon abnormality (thickening, edema, tendon sheath fluid, and enhancement), and articular abnormality (joint space narrowing and erosion). the distribution of abnormal mri findings among the six categories for the 37 mri examinations was evaluated. the number of abnormal mri findings for each mri examination was assessed. age at mri examination and all six categories of abnormal mri findings according to gender were evaluated. results: there were a total 96 abnormal mri findings noted on 37 abnormal mri examinations from 31 pediatric patients. the 37 abnormal mri examinations included mri of the hand (n = 8), knee (n = 8), ankle (n = 5), pelvis (n = 5), temporomandibular joint (n = 4), wrist (n = 3), foot (n = 2), elbow (n = 1), and shoulder (n = 1). twenty-eight diffuse synovial thickening and/or enhancement were the most common mri abnormality (29.2%). joint effusion comprised 22 abnormal mri findings (22.9%). there were 16 abnormal mri bone marrow edema and/or enhancement findings (16.7%), and in seven (7.3%) the edema involved non-articular sites. soft tissue abnormality manifested as edema and/or enhancement constituted 14 abnormal mri findings (14.5%). there were ten mri abnormalities (10.4%) involving tendons. articular abnormality seen as joint space narrowing and/or bone erosion comprised six abnormal mri findings (6.2%). most mri examinations had more than one abnormal finding (84%). age at which mri examinations were performed was not significantly different between boys and girls. all six categories of abnormal mri findings were not significantly different between boys and girls. conclusion: children with jpsa typically present with more than one abnormal finding on their mri studies. while synovial abnormality is the most common mr finding in children with jpsa, multi-focal bone marrow edema and enhancement at both articular and non-articular sites are also notable findings in children with jpsa. the rate of articular abnormality is much lower in children with jpsa in comparison to adults with psoriatic arthritis. our findings suggest that mri can play a useful role in the diagnosis and ongoing assessment of this uncommon, though important, pediatric rheumatologic disorder.
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参考中文标题:
之间的关系纯电影模式和临床放射学中的变量联合会第二阶段骨肉瘤。
PMID及链接:
18622606 http://www.syyxw.com/Archive/Detail/18622606
摘 要:
OBJECTIVE: In this retrospective study, we assessed the plain-film radiographic patterns of American Joint Committee on Cancer (AJCC) stage II osteosarcoma and analyzed the relationship between these patterns and clinicopathologic variables. MATERIALS AND METHODS: We retrospectively reviewed 347 patients with AJCC stage II osteosarcoma who were treated at our institute. Patients were divided into three groups based on radiographic patterns, i.e., osteoblastic, osteolytic, and mixed. Fisher's exact chi-square test was performed to analyze correlations between radiographic patterns and clinicopathological variables. RESULTS: One hundred and eighty-eight patients had an osteoblastic tumor, 101 had an osteolytic tumor, and 58 had a mixed tumor. Tumors with an osteoblastic pattern showed a tendency to have the following characteristics: AJCC stage II-B, osteoblastic or chondroblastic subtype, and no pathologic fracture. Conversely, osteolytic tumors were frequently of AJCC stage II-A, had a fibroblastic or rare subtype, and were associated with a pathologic fracture. Finally, mixed tumors were frequently found in men. No survival difference was found according to radiographic pattern. CONCLUSIONS: Plain-film radiographic patterns were found to be related with clinicopathological features. We believe that it could be used to provide valuable information for treatment decision-making in cases of high-grade extremity osteosarcoma.
参考中文摘要:
目的:回顾性研究,我们评估了普通X光胶片模式的美国癌症联合委员会(联合会)第二阶段的骨肉瘤,并分析了这些模式之间的关系及临床变量。材料与方法:我们回顾性分析347例联合会第二阶段治疗骨肉瘤谁在我们的研究所。患者被分成3组X线模式的基础上,即骨,溶骨和混合。 Fisher的精确卡方检验进行相关性分析X线形态和临床病理的变数。结果: 100和88例有骨肿瘤, 101人的溶骨性肿瘤和58进行了混合瘤。肿瘤与骨形态表明一种趋势,具有以下特点:联合会阶段第二- B ,骨或软骨亚型,没有病理性骨折。相反,溶骨性肿瘤经常联合会第二阶段一,有一个罕见的成纤维细胞或亚型,并结合病理骨折。最后,混合瘤是常见于男性。没有生存的差异,根据X线模式。结论:普通X光胶片模式被认为是与临床病理特征。我们认为,它可被用来提供有价值的信息处理决策的案件中高档肢体骨肉瘤。
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