局限型胆囊腺肌增生症的CT分型

发布时间：2018-04-09 03:30

本文选题：胆囊腺肌增生症　切入点：罗-阿氏窦　出处：《临床放射学杂志》2015年09期

【摘要】：目的探讨局限型胆囊腺肌增生症(GBA)的CT分型及临床意义。方法搜集38例经手术病理证实的局限型GBA患者的临床及影像资料,男23例,女15例,平均年龄57岁。全部病例均行多层螺旋CT(MSCT)平扫及多期增强扫描,原始数据行CT薄层重组及多平面重组(MPR),根据CT表现对局限型GBA进行分型。结果38例局限型GBA中,基底型9例,胆囊底部帽状、半环状或扁平状轻度增厚;壁内型3例,底部局限性增厚向腔内隆起;乳头型24例,增厚底部呈乳头状向腔外凸出;混合型2例,底部增厚同时向腔内、外隆起。各型病例在平扫及多期增强扫描均可见分布于整个增厚壁内多发大小不等的罗-阿氏窦(RAS)。结论局限型GBA的CT分型有望为临床治疗及手术方案的选择提供参考依据。
[Abstract]:Objective to study the CT classification and clinical significance of GBA in localized gallbladder adenomyosis.Methods the clinical and imaging data of 38 patients with localized GBA confirmed by operation and pathology were collected. There were 23 males and 15 females with an average age of 57 years.All cases were performed multislice spiral CT CT plain scan and multiphase enhanced CT scan. The original data were divided into local GBA by CT thin layer recombination and multiplanar recombination.Results among the 38 cases of localized GBA, 9 cases were basal type, the bottom of the gallbladder was cap shaped, semi-circular or flattened slightly thickened, intramural type in 3 cases, local thickening of the base toward intracavitary protuberance, papillary type in 24 cases, the thickening base of papillary type appeared papillary protruding to the external cavity.Mixed type 2 cases, the bottom thickened simultaneously to the cavity, the external protuberance.In all types of cases, RASA with multiple sizes in the thickened wall can be seen on plain scan and multiphase enhanced scan.Conclusion CT classification of localized GBA may provide reference for clinical treatment and operation.
【作者单位】：苏州大学附属第一医院影像中心;永鼎医院影像科;
【分类号】：R575.6;R816.5

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