摘要
目的探讨囊性淋巴管瘤的DSCT表现与病理对照分析。方法搜集经病理证实为囊性淋巴管瘤15例的DSCT影像资料,回顾性分析病灶DSCT表现,并与手术及病理结果对照。结果 15例囊性淋巴管瘤中,位于颈部3例,腋下1例,纵膈2例,腹部9例,包括大网膜4例,肠系膜3例,腹膜后2例,其中1例伴肝脏局灶性结节增生。单房囊肿6例,多房囊肿9例,除1例囊壁厚以外,其余囊壁均薄,囊内可见纤细分隔,囊壁及分隔均无壁结节,密度均匀,CT值约＋11HU,大小约2.4-21.2cm,腹部9例病例中8例病灶旁均可见结节状钙化灶,增强囊壁及分隔均有强化,3例囊内可见血管穿行。结论 DSCT能够清晰显示病变的影像学特征、病变部位、累及范围及周围血管情况,对临床确定手术方案有着十分重要的价值。
Objective To explore the DSCT performance and pathology of cystic lymphangioma. Methods DSCT findings of fifteen cases with pathologically confimed cystic lymphangiomas were collected and retrospectively reviewed. These findings were compared with operative and pathological results. Results The size of lesions in 15 cases was 2. 4 - 21. 2 cm. The lesions were solitary in 6 cases and multiple in 9 cases. There were 3 cases of neck,1 case under the armpit,2 cases in longitudinal diaphragm,9 cases of abdominal including 4 cases of large retina,3 cases of mesenteric,2 cases of retroperitoneal,1 case with hepatic focal nodular hyperplasia. In addition,1 case of cystic wall was deeped,the rest of the systic walls was thinkness and had divisions. 15 cases had steady density,CT value was about 11 HU. 9 cases were abdominal and 8 cases of the lesions were found the nodules. Contrast-enhanced DSCT scans were performed in 15 patients,with mild and moderate enhancement of the wall. The content of the cyst was not enhanced,and blood vessels were seen in 3 cases. Conclusion DSCT can provide an excellent tool for diagnosis of cystic lymphangioma and it has high value in the determination of the treatment plans.
出处
《医学影像学杂志》
2016年第5期829-832,共4页
Journal of Medical Imaging
