摘要
目的 探讨小儿腹部Burkitt＇s淋巴瘤的多排螺旋CT影像特点及鉴别诊断. 方法 收集21例经手术及病理活检证实的小儿腹部淋巴瘤21例,其中,Burkitt＇s淋巴瘤12例,非Burkitt＇s淋巴瘤9例,分别比较两组淋巴瘤的临床症状、发病部位、肿块大小、肿块内坏死灶情况、受累肠壁厚度及扩张度、腹腔淋巴结及肝脾情况等CT影像学表现,采用统计学软件SPSS计算结果. 结果 Burkitt＇s淋巴瘤常常形成较大肿块,直径＞40 mm,占91.7％,最常见发生于肠管,占66.7％,受累肠管肠壁呈肿瘤样增厚,占66.7％,受累肠管常常扩张而非狭窄,占50％,肝脾肿大较少见.与非Burkitt＇s淋巴瘤比较,均有显著性差异（P值均＜0.05）. 结论 小儿腹部Burkitt＇s淋巴瘤在螺旋CT上有多个特征性影像学表现,结合病史及临床表现能够做出较明确的诊断.
Objetive To investigate the multi-slice spiral CT imaging features and differential diagnosis of childhood abdominal Burkitt＇s lymphoma.Methods Retrospectively reviewed 21 cases of childhood abdominal lymphoma confirmed by surgery and pathologic.19 cases were Burkitt＇s lymphoma and 9 cases were non-Burkitt＇s lymphoma.The clinical symptoms,anatomical site,tumor size,tumor necrosis,the affected bowel wall thickness and distension,abnormal CT imaging findings of the lymph nodes,liver and spleen were analyzed and compared.Results Burkitt＇s lymphoma most commonly involved intestine （accounts for 66.7％）,typical imaging features are tumor-like thickening of the intestinal wall （accounts for 66.7％）,and those diameter ＞40mm accounts for 91.7％.The involved bowel often has lumen expansion rather than narrow （accounts for 50％）,hepatosplenomegaly was rare.The CT features were significant difference between the Burkitt＇s and non-Burkitt＇s lymphoma（P ＜ 0.05 for all of the compare）.Conclusion The pediatric abdominal Burkitt＇s lymphoma have specific CT imaging features,combined with the history and clinical manifestations should be helpful in the differential of diagnosis.
出处
《临床小儿外科杂志》
CAS
2013年第5期414-417,共4页
Journal of Clinical Pediatric Surgery
