多层螺旋CT在原发性小肠淋巴瘤和小肠腺癌中的表现及价值

发布时间：2018-06-10 09:54

本文选题：原发性小肠淋巴瘤 + 小肠腺癌　；参考：《中国当代医药》2017年09期

【摘要】：目的探讨多层螺旋CT对原发性小肠淋巴瘤与原发性小肠腺癌的诊断价值。方法回顾性分析我院2007年1月~2016年12月收治的均经病理诊断确诊的41例原发性小肠恶性肿瘤患者的临床资料,其中原发性小肠淋巴瘤21例,原发性小肠腺癌20例,均行多层螺旋CT检查,比较两种疾病的发病部位和CT表现。结果 21例原发性小肠淋巴瘤患者的发病部位为十二指肠2例、空肠4例、回肠15例,20例原发性小肠腺癌的发病部位为十二指肠15例、空肠3例、回肠2例,两者发病部位比较差异有统计学意义(P0.05)。两种原发性小肠恶性肿瘤患者在螺旋CT平扫时的局部肿块CT值比较,差异无统计学意义(P0.05)。增强扫描时,原发性小肠淋巴瘤动脉期、静脉期CT值分别为(46.0±7.6)、(67.9±6.5)HU,原发性小肠腺癌分别为(103.9±9.1)、(94.9±8.8)HU,两者比较差异有统计学意义(P0.05)。结论原发性小肠淋巴瘤和原发性小肠腺癌在多层螺旋CT检查中有不同的CT表现,多层螺旋CT对两种疾病的诊断和鉴别诊断具有较高的临床价值,值得临床推广应用。
[Abstract]:Objective to evaluate the value of multi-slice spiral CT in the diagnosis of primary intestinal lymphoma and primary small intestinal adenocarcinoma. Methods the clinical data of 41 patients with primary small intestinal malignant tumor diagnosed by pathology in December January 2007, including 21 cases of primary small intestinal lymphoma and 20 cases of primary intestinal adenocarcinoma, were retrospectively analyzed. Multislice spiral CT was performed to compare the location and CT manifestations of the two diseases. Results in 21 cases of primary intestinal lymphoma, there were 2 duodenum, 4 jejunum, 15 ileum, 20 duodenum 15 cases, 3 jejunum and 2 ileum. There were statistical differences between the two cases. Significance (P0.05). There was no significant difference in the CT value of local mass in two types of primary small intestinal malignant tumors (P0.05). When enhanced scan, the arterial phase of primary small intestinal lymphoma was (46 + 7.6), (67.9 + 6.5) HU, respectively (103.9 + 9.1) and (94.9 + 8.8) HU respectively, and the ratio of the two was (94.9 + 8.8) HU, respectively. The difference was statistically significant (P0.05). Conclusion primary small intestinal lymphoma and primary small intestinal adenocarcinoma have different CT manifestations in the multislice spiral CT examination. Multi slice spiral CT is of high clinical value for the diagnosis and differential diagnosis of two diseases. It is worthy of clinical application.
【作者单位】：北京京煤集团总医院影像科;
【分类号】：R735.32;R730.44

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