股骨上端骨和肿瘤样病变84例X线分析

目的：分析股骨上端骨肿瘤和肿瘤样病变的X线表现。材料与方法：回顾性分析84例经手术病理和临床证实的股骨上端骨肿瘤和肿瘤病变X线表现，结合文献进行讨论。结果：良性肿瘤31例，其中骨脂肪瘤7例，软骨母细胞瘤4例，外生骨疣、巨细胞瘤、骨母细胞瘤各3例，软骨黏液样纤维瘤、韧带纤维瘤、骨牙质瘤和骨血管瘤各2例，软骨瘤、非骨化性纤维瘤和巨细胞瘤伴动脉瘤样骨囊肿各1例。恶性肿瘤33例，其中转移瘤9例，软骨肉瘤7例，骨肉瘤、骨旁肉瘤、骨血管外皮瘤、骨横纹肌肉瘤和畸形骨炎恶变为骨肉瘤各2例，骨髓瘤、淋巴肉瘤、网状细胞肉瘤、尤文氏瘤、骨纤维肉瘤、腺泡状肉瘤和Burkitt氏瘤各1例肿瘤样病变20例，其中骨囊肿和骨纤维异常增症各9例，嗜酸性肉芽肿2例。84例中发生于粗隆下区29例，其中良性9例，恶性12例，肿瘤样病变8例；粗隆区32例，其中良性13例，恶性12例，肿瘤样病变7例；粗隆至头部均受累14例，其中良性5例，恶性6例，肿瘤样病变3例；颈部6例，其中良性2例，恶性3例，肿瘤样病变1例；头部3例，其中良性2例，肿瘤样病变1例。结论：股骨上端以转移瘤、骨囊肿、骨纤维异常增殖症、骨脂肪瘤和软骨肉瘤多见。良恶性肿瘤和肿瘤样病变均好发于粗隆区和粗隆下区。

X-ray Analysis of Bone Tumor and Tumoroid Lesion in the Upper End of Femur in 84 Cases

Purpose： To investigate the X - ray findings of bone tumor and tumoroid lesion in the upper end of femoral. Materials and Methods： X - ray findings and characteristics of bone tumor and tumoroid lesion in the uppen end of femur in 84 cases proved pathlogically and clinically were analysed retrospectively with review of literature. Results： There were 31 benign lesion, including： 7 lipoma, 4 chondroblastoma, 3 multiple cartilaginous exostesis, 3 giant cell tumor, 3 osteoblastoma, 2 chondromyxoid fibmma, 2 desmoplastic fibroma, 2 osteodentinoma, 2 hemangioma of bone, 1 chondroma, 1 nonossifying fibroma, 1 giant cell tumor with aneurismal bone cyst, 33 malignant lesion, including： 9 metastatic tumor, 7 chondrosarcoma, 2 sarcoma, 2 parosteal esteognic sarcoma, 2 hemangiopericytoma, 2 thabdomyosarcoma, 2 osteosareoma secondary to osteitis deformity, 1 Burkitts, 1 lymphesarcoma, 1 reticulum cell sarcoma, 1 Ewing＇s tumor, 1 fibrosarcoma, 1 acinose sarcoma, 1 myetoma, 20 tumoroid lesion, including： 9 bone cyst, 9 fibrone dysplasia of bone, 2 eosinophilic granuloma of bone. The location of included： the trochanter in 32 cases , subtrochanter in 29 cases, the lesion all of trochanter to head in 14 cases, the neck in 6 cases and the head in 3 cases. Conclusion： Metastatic tumor, bone cyst, fibredysptasia of bone, chondroblastoma, lipoma are mainly seen in the upper end of femur. The trochanter and the subtrochanter were mainly involved by tumor and tumoroid lesion.