摘要
目的:分析原发性胃肠道淋巴瘤的CT表现,提高对该病的认识及诊断准确率。方法:回顾性分析2010年1月—2015年1月手术病理确诊的7例原发性胃肠道淋巴瘤的CT表现,为临床早期诊断提供依据。结果:7例原发性胃肠道淋巴瘤中,胃部病变4例,CT表现为胃壁局限或弥漫性增厚,增强扫描可见"黏膜白线征",3例胃壁浆膜层光滑,1例侵犯浆膜层,边缘毛糙;小肠2例(其中空肠1例,回肠末端1例),结肠1例。肠道淋巴瘤以肠壁环形或不规则增厚为特征,动脉瘤样扩张常见,很少出现肠梗阻。结论:原发性胃肠道淋巴瘤CT有一定的特征性,胃肠管壁局限或弥漫性增厚,平扫密度均匀,增强扫描轻中度均匀强化,典型表现可见黏膜白线征、动脉瘤样扩张等,对胃肠道淋巴瘤具有一定的诊断价值。
Objective： To investigate the analysis of CT performance of primary gastrointestinal lymphoma,to raise awareness and diagnostic accuracy. Methods： From January 2010 to January 2015 in hospital,the CT performance of 7 cases pathologically confirmed primary gastrointestinal lymphoma were retrospective analyzed. Results： Seven patients with primary gastrointestinal lymphoma,4 cases of gastric lesions,CT showed limited or diffuse gastric wall thickening,enhanced scan,＂mucosal white line＂sign,three cases of gastric serosa smooth,1 cases of violations of serosa,rough edges; intestinal two cases,one case in which the jejunum,ileum one case,one case of colon. Intestinal lymphoma circular or irregular thickening of the intestinal wall is characterized by aneurysmal dilatation common,rarely ileus. Conclusion： Primary gastrointestinal lymphoma CT has certain characteristics,limitations or diffuse gastrointestinal wall thickening,scan density,enhanced scan mild to moderate homogeneous enhancement,a typical example of the white line visible mucosal signs,arterial aneurysm and other gastrointestinal lymphoma has some diagnostic value.
出处
《临床医药实践》
2015年第12期958-960,共3页
Proceeding of Clinical Medicine
