21例腹部巨大囊性病变的CT分析

发布时间：2018-03-02 23:11

本文选题：腹部　切入点：囊性病变　出处：《中国医学计算机成像杂志》2015年04期 　论文类型：期刊论文

【摘要】：目的:探讨腹部巨大囊性病变的CT表现特点,提高腹部囊性病变诊断的准确性。方法:回顾性分析21例经手术病理证实的腹部巨大囊性病变的CT影像特征。结果:21例中,胰腺假性囊肿2例,肠系膜囊肿3例,卵巢囊腺瘤6例,卵巢颗粒细胞瘤1例,囊性畸胎瘤3例,卵巢内胚窦瘤1倒,库肯勃瘤1例,腹壁表皮样囊肿1例,肌间脂肪瘤伴黏液变性1例,腹腔转移性腺癌1例,黏液性囊性癌1例。结论:螺旋CT对腹部巨大囊性病变的定位、定性有独具优势的诊断价值,同时结合病变各自CT特征表现及病史,对于腹部巨大囊性病变的鉴别诊断也具重要意义。
[Abstract]:Objective: to investigate the CT features of abdominal giant cystic lesions and to improve the accuracy of diagnosis. Methods: Ct features of 21 cases of abdominal giant cystic lesions proved by surgery and pathology were retrospectively analyzed. Pancreatic pseudocyst (n = 2), mesenteric cyst (n = 3), ovarian cystadenoma (n = 6), granulosa cell tumor (n = 1), cystic teratoma (n = 3), ovarian endodermal sinus tumor (n = 1), Kukenberg's tumor (n = 1), abdominal epidermoid cyst (n = 1). There were 1 case of myxolipoma with mucinous degeneration, 1 case of metastatic adenocarcinoma of abdominal cavity and 1 case of mucinous cystic carcinoma. Conclusion: the localization of giant cystic lesions in abdomen by spiral CT has unique diagnostic value. At the same time, combined with CT features and history of the lesions, it is also important for the differential diagnosis of abdominal giant cystic lesions.
【作者单位】：浙江省中医药大学附属嘉兴市中医院放射科;
【分类号】：R57;R816.5

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