ISSN 1004-4140
CN 11-3017/P
王晓婷. 恶性骨肿瘤化疗前后影像学比较及疗效[J]. CT理论与应用研究, 2004, 13(3): 24-29.
引用本文: 王晓婷. 恶性骨肿瘤化疗前后影像学比较及疗效[J]. CT理论与应用研究, 2004, 13(3): 24-29.
WANG Xiao-ting. Imaging Comparison and Curative Effect of Malignant Bone Tumor after Chemotherapy[J]. CT Theory and Applications, 2004, 13(3): 24-29.
Citation: WANG Xiao-ting. Imaging Comparison and Curative Effect of Malignant Bone Tumor after Chemotherapy[J]. CT Theory and Applications, 2004, 13(3): 24-29.

恶性骨肿瘤化疗前后影像学比较及疗效

Imaging Comparison and Curative Effect of Malignant Bone Tumor after Chemotherapy

  • 摘要: <b<目的</b< 探讨恶性骨肿瘤化疗前后影像学比较。 <b<方法</b< 首先影像学的比较是在X线平片、CT扫描、MRI等各自的比较下,收治恶性骨肿瘤31例,其中骨肉瘤15例,尤文氏肉瘤4例,滑膜肉瘤4例,纤维肉瘤8例。根据不同肿瘤的组织学特征及对抗肿瘤药物的敏感性来选择。 <b<结果</b< 化疗后,使临床疼痛减轻,肿块缩小,影像发生改变,病灶周边由模糊变得清晰。骨硬化及环状骨包壳增多,肿瘤的新生血管减少,上述改变效果明显的14例,有效率45%,部分有效为9例,无明显改变的8例。 <b<结论</b< 对上述恶性骨肿瘤化疗后影像学改变的比较,基本证实了肿瘤细胞坏死率大于90%,患者5年生存率为80-90%,有些患者通过综合的治疗,肿瘤得到控制,其中部分患者效果不明显,甚至无效,这个过程应是一个远期观察疗效才能做比较,化疗效果满意的,为骨肉瘤、尤文氏肉瘤及滑膜肉瘤;化疗效果不佳的,为纤维肉瘤、部分骨肉瘤、个别肿瘤体积大的、恶性程度高的患者。

     

    Abstract: <b<Objctive</b< To study the change of malignant bone tumor after chemotherapy. <b<Methods</b< imaging Comparision must be based on x-radiograph, CT scan and MRI, Volute sample 31 patients diagnosed malignant bone tumor, of which osteosarcoma 15,Ewihgs Sarcoma 4,SonoviSarcoma 4,and cellulsarcoma 8,grouped according to histology character and Sensitivity to antitumor drugs. <b<Results</b< After chemotherapy, clinical pain was reduced and the volume was shrinked. The surrounding of pathology in imaging changed from blur to distinct, osteosclerosis and encircling bone increased, the new blood vessel in trusting tumor reduced.14 changed greatly, the total efficient rate was 45%,9 changed avergely,8 changed little. <b<Conclusions</b< From this research we can conclude that the death rate of tumor cell was 90%,the survived rate of 5 years was 80-90%.Comprehensive chemotherapy to the patients may be effective or not, but it needs a long observe course. The curative effect 12 osteosarcoma, Ewings sarcoma, sonival-sarcoma was higher, there was no obvious change in cell ulsarcome and a few tumor with large volume.

     

/

返回文章
返回