中国中西医结合外科杂志2018,Vol.24Issue(2):182-184,3.DOI:10.3969/j.issn.1007-6948.2018.02.013
骨骼肌内黏液瘤的MRI与CT影像学表现及其诊断价值
Imaging Findings and Diagnostic Value of Skeletal Muscle Myxoma between MRI and CT
甘伟 1高严军 1李军 1刘创宇 1李细敏1
作者信息
- 1. 广东省深圳平乐骨伤科医院放射科 深圳 518100
- 折叠
摘要
Abstract
Objective To discuss the imaging findings and diagnostic value of skeletal muscle myxoma between MRI and CT. Methods Twenty-six patients who underwent MRI examination (21 cases undergoing enhanced scan) were assigned to the observation group, and 16 patients undergoing CT examination were assigned to the control group. The accuracy rates of two groups were compared. Results Of 42 cases, the surgical pathology confirmed 13 cases of gastrocnemius myxoma, 8 cases of long peroneal muscle myxoma, 18 cases of medial femoral myxoma, and 3 cases of myxoid myxoma of scapula. There was no difference in lesion location between two groups. There was space occupying lesion in the muscle of the observation group after MRI examination, the T1WI signal was low, the T2WI signal was high, and the fat suppression imaging was high, with a clear boundary. In 21 cases with MRI enhancement, 15 cases showed lesions with inhomogeneous enhancement, fat signal bands were seen around the lesions, and edema signals appeared in the muscles around the lesions. The nodules were thick in 4 cases, and there was no obvious enhancement in 2 cases. In the control group, the tumor showed a low density liquid tumor, and 11 cases showed annular enhancement and inhomogeneous enhancement. Compared with the control group, the abnormal rate of diagnosis in the observation group was significantly higher than that of the control group. Conclusion MRI and CT are valuable in the diagnosis of skeletal muscle myxoma, and the diagnosis of MRI is more accurate.关键词
黏液瘤/骨骼肌/体层摄影术/X线/磁共振成像Key words
Myxoma/skeletal muscle/tomography/X-ray/magnetic resonance imaging分类
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甘伟,高严军,李军,刘创宇,李细敏..骨骼肌内黏液瘤的MRI与CT影像学表现及其诊断价值[J].中国中西医结合外科杂志,2018,24(2):182-184,3.