摘要
目的探讨小儿颅骨郎格罕斯细胞组织细胞增生症(LCH)的CT表现特点,以提高对其认识。资料与方法回顾性分析15例经临床、实验室、病理检查确诊的LCH患儿的临床与颅骨CT图像资料。结果颅骨单发或多发的圆形、椭圆形及不规则形骨缺损区,边界清晰,小缺损区的软组织肿块以外凸为主,大缺损区的软组织肿块保持颅骨形状;3例累及中耳听小骨和内耳结构,2例累及眼外肌、视神经、眼球。结论小儿LCH的颅骨CT表现具有特征性,CT对病变范围、软组织改变及邻近结构受累情况显示清晰。
Objective To explore the CT characteristics of Langerhans cell histiocytosis of skull in children and improve the recognition of the disease. Materials and Methods Clinic and skull CT data of 15 cases with Langerhans cell histiocytosis proved by clinical features, laboratory and pathology were analyzed retrospectively. Results CT showed the missing region of skull as round, ellipse or irregular in shape with well-defined margin, associated with soft tissue mass protruding in small missing region or keeping the shape of skull in large missing region. The structure of middle or inner ear were involved in 3 cases, extraocular muscle, optic nerve and eyeball were involved in 2 cases. Conclusion There are CT features of skull LCH in children. CT scan can well demonstrate the extent, the change of soft tissue and the relationship with adjacent tissue.
出处
《临床放射学杂志》
CSCD
北大核心
2007年第12期1259-1261,共3页
Journal of Clinical Radiology
基金
河南省杰出人才创新基金资助项目(编号:074200510015)