摘要
目的探讨下肢乳糜返流性淋巴水肿的MSCT的影像学表现。方法回顾性分析经手术或临床证实的51例患者乳糜返流性下肢淋巴水肿的影像学资料。所有患者均接受直接淋巴管造影造影后行胸腹部CT扫描。分析病变累及的部位及病程,并进行统计学分析。结果 51例患者的MSCT均可见不同范围、不同脏器和组织的淋巴管异常,累及下肢、盆腔、腹腔、胸腔及心包等;按病情分型:轻型14例,中型22例,重型15例,不同病情分型的病程统计学差异具有显著性。结论下肢乳糜返流淋巴水肿病为多部位、多系统表现, MSCT为诊断和鉴别诊断本病提供重要依据,病情与病程有较大关联。
Objective To investigate the imaging of multisliecs helieal CT(MSCT) in chylous reflux lymphedema of lower extremities. Methods The imaging data of 51 patients with chylous reflux lymphedema of lower extremities confirmed by operation or clinic were retrospectively analyzed. All patients underwent direct lymphangiography followed by CT scan of the chest and abdomen. The location of the lesion was analyzed and the constituent ratio of the classified variable data was used to describe the lesion. Results MSCT of 51 patients showed abnormal lymphatic vessels in different areas,organs and tissues, involving lower limbs, pelvis, abdomen, thorax and pericardium;the cases were divided into 14 mild cases, 22 medium cases, and 15 severe cases by disease type, and the course between different disease types was statistically significant. Conclusion Chylomicron reflux lymphedema of the lower extremities manifests in multi-sites and multi-systems, and its condition is highly correlated with the course. Therefore, MSCT can provide an important basis for the diagnosis and differential diagnosis of the disease.
作者
王海洋
胡俊洁
任艳丽
王仁贵
杨国仁
WANG Haiyang;HU Junjie;REN Yanli;WANG Rengui;YANG Guoren(Department of Nuclear Medicine,Anyang Cancer Hospital,Anyang 455000 China;Imaging Department of Beijing Shijitan Hospital Affiliated to Capital Medical University;Department of Nuclear Medicine,Shandong Cancer Hospital)
出处
《中国辐射卫生》
2020年第6期675-677,共3页
Chinese Journal of Radiological Health
