摘要
目的:探讨儿童巨大腹部囊性病变的 CT 表现及鉴别诊断。方法搜集2012年-2013年间经手术病理证实的腹部巨大囊性病变患儿28例,分析其病变部位、大小、形态、密度、分隔及囊壁厚度、是否强化以及与周围脏器关系等要素。结果28例中,淋巴管瘤10例,囊性畸胎瘤4例,卵巢囊肿4例,重度肾积水3例,肝囊肿3例,先天性胆总管囊肿1例,肝间叶组织错构瘤(hepatic mesenchymal hamartoma ,HM H)1例,胰腺假性囊肿1例,子宫阴道积液1例。各种囊性病变有其一定的发病部位和特征性 CT 表现。结论 CT 是儿童腹部囊性病变定位定性诊断的重要影像学方法。
Objective To explore the CT findings and differential diagnosis of giant cystic lesions in abdomen of children . Methods 28 children with the giant cystic lesions in abdomen confirmed by surgery and histopathology from 2012 - 2013 were collected .The location of the lasion ,range ,configuration ,density ,thickness of cystic wall and septa ,contrast en‐hancement ,and adjacent organs were observed and analyzed .Results In 28 children ,there were lymphangioma in 10 , cystic teratomas in 4 ,ovarian cyst in 4 ,giant hydronephrosis in 3 ,hepatic cyst in 3 ,congenital gallbladder general direc‐tor cyst in 1 ,hepatic mesenchymal hamartoma in 1 ,pancreatic pseudocyst in 1 ,and Hydrometrocolpos in 1 .Conclusion CT is very effective on the location and qualitative diagnosis of the giant cystic lesions in abdomen of children .
出处
《医学影像学杂志》
2015年第5期825-828,共4页
Journal of Medical Imaging