摘要
目的探讨儿童腹部常见囊性病变的CT诊断及鉴别诊断。方法回顾性分析自2016年1月至2017年5月间,在本科室行CT检查,诊断为腹部囊性病变,经手术病理或临床诊断确诊的79例患儿资料。CT检查采用GE Revolution 256 CT,其中仅作CT平扫者3例,CT平扫＋增强者76例。根据囊性病变的五个关键要素,即位置、形态、壁厚、壁缘、强化,进行规范化的横向比较,从而对儿童腹部常见囊性病变进行CT诊断及鉴别诊断。结果儿童腹部常见囊性病变在位置、形态、壁厚、壁缘、强化五个要素的诊断符合率分别为91%、94%、90%、97%、96%。单个病变按照五要素的符合率平均值约95%。结论儿童时期常见的腹部囊性病变具有各自的CT影像学特征,可以准确、快速、简便的进行CT诊断及鉴别诊断。
Objective To investigate the CT diagnosis and differential diagnosis of abdominal cystic lesions in children.Methods from January 2016 to May 2017,79 patients with abdominal cystic lesions diagnosed by surgery,pathology or clinical diagnosis were examined by CT examination in the undergraduate clinic. CT examination using the American GE company produced Revolution 256 CT,of which only CT plain scan for 3 cases,CT scan ＋ enhanced 76 cases. According to the five key factors of cystic lesions,location,shape,wall thickness,wall margin and enhancement,standardized transverse comparison was performed,so as to make CT diagnosis and differential diagnosis of abdominal cystic lesions in children. Results the coincidence rate of five factors in location,shape,wall thickness,wall margin and enhancement of abdominal cystic lesions in children was 91%,94%,90%,97%,96%,respectively. According to the coincidence rate of five factors,the average rate of single lesion was about 95%. Conclusion The common abdominal cystic lesions in childhood have their own CT imaging features,which can be accurate,rapid and simple for the diagnosis and differential diagnosis of CT.
作者
辛涛
XIN Tao(Department of medical imaging,Xuzhou Children＇s Hospital,221000,P.R.China)
出处
《临床放射学杂志》
CSCD
北大核心
2018年第10期1721-1725,共5页
Journal of Clinical Radiology
