摘要
目的探讨VCT在原发性骨髓纤维化(IMF)诊断中的应用价值及CT影像特点。方法对本院2005年至2012年确诊的10例IMF病例的胸腹部VCT影像资料进行回顾性分析,分析其胸、腹部脏器及胸腰椎CT表现,总结其影像学特点。结果 10例IMF中,胸腰椎骨质密度弥漫性增高,骨小梁增粗、致密8例,腰椎夹心椎改变1例,胸骨、肋骨骨质密度增高,髓腔变窄3例。心脏贫血改变5例。脾肿大9例,其中巨脾5例,肝肿大4例,继发门静脉高压,门静脉增粗,食管下段静脉曲张4例,脾梗死3例。结论 VCT一次扫描同时显示IMF在胸腹部脏器及骨质等多方面的特征性表现,对临床诊断及鉴别诊断具有帮助价值。
Objective To evaluate the role of VCT in diagnosis of idiopathic myelofibrosis （IMF）. Methods Ten cases of IMF with thoracic and abdominal images data were retrospectively analyzed. All cases were examined with VCT. The VCT appearance about thoracic and abdominal images were studied and evaluated the characteristic manifestations of IMF. Results Among 10 cases, the diffuse hyperdensity of bone was seen in thoracic and lumbales vertebra and bone trabecular were obscured in 8 cases. In 3 cases, the hyperdensity of bone marrow was seen and bone cavity was narrow in sternum and os costale. The anemia was found in heart in 5 cases. 9 cases were splenomegaly, vast splenomegaly in 5 cases and splienic infarction in 3 cases. 4 cases had esophageal varices and portal vein enlargement. Conclusion VCT is help- ful in diagnosis IMF and differential diagnosis with the significant finding not only in thoracic abdominal but also bone marrow in the same time.
出处
《临床放射学杂志》
CSCD
北大核心
2013年第9期1359-1361,共3页
Journal of Clinical Radiology
