摘要
目的分析儿童腹部脏器外囊性 病变的CT特点及诊断价值。方法 回顾性 分析自2011年6月-2015年6月于我院经病 理证实为腹部脏器外囊性病变的34例患 儿的临床资料,所有患儿均已接受CT检 查,且临床资料完整,总结儿童腹部脏器 外囊性病变的CT影像学特点,评估其诊 断价值。结果 本组34例腹部脏器外囊性 病变患儿中,淋巴管瘤1例,腹部脓肿10 例,肠系膜囊肿4例,肠重复畸形4例, 大网膜囊肿1例,血肿2例,囊性畸胎瘤4 例,卵巢囊肿7例,小肠炎性肌纤维母细 胞瘤1例。CT共误诊3例,诊断准确率为 88.24%。结论 CT扫描可清晰显示小儿腹 部脏器外囊性病变特点,为术前诊断提供 充分的依据,诊断价值较高。
Objective To analyze the CT features and its diagnostic value of abdominal non organic cystic lesions in children. Methods The clinical data of 34 children with pathologically proved abdominal non organic cystic lesions in our hospital from June 2011 to June 2015 were retrospectively analyzed. All the diseased children underwent CT examination and the clinical data were complete. The CT imaging features of abdominal non organic cystic lesions in children were summarized and its diagnostic value was evaluated. Results Among the 34 cases of children with abdominal non organic cystic lesions, there was a case of lymphangioma, 10 cases of abdominal abscess, 4 cases of mesenteric cysts, 4 cases of intestinal duplication, a case of omental cysts, 2 cases of chronic hematoma, 4 cases of cystic teratoma, 7 cases of ovarian cysts and a case of small intestine inflammatory myofibroblastoma. 3 cases were misdiagnosed by CT and the diagnostic accuracy was 88.24%. Conclusion CT scan can clearly show the characteristics of the abdominal non organic cystic lesions in children, and provide abundant basis for preoperative diagnosis. The diagnostic value is higher.
【关键词】CT检查;腹部;囊性病变;儿童;特点
【中图分类号】R445.3.
【文献标识码】A
【DOI】10.3969/j.issn.1672-5131.2015.12.028
前言
儿童腹部脏器外囊性病变多指位于腹腔内腹膜、网膜、肠系膜等 结构与腹部脏器组织间隙内以囊性为主的病变类型,包括先天性或后 天发育障碍性病变、外伤性病变、感染及肿瘤性病变,种类较多,可 发于任何年龄阶段,以儿童群体常见,属临床相对少见病。临床症状 多表现为腹胀、腹部疼痛、发热、呕吐等症状,常以急腹症就诊,其 病变来源复杂,定性诊断困难[1]。CT是其常见影像学检查方法,研究 认为采取CT诊断方式可明确小儿腹部脏器外囊性病变病理起源及组织 分型,诊断价值高[2]。基于此,为进一步总结儿童腹部脏器外囊性病 变的CT特点及诊断价值,对近年来我院收治的34例患儿的临床资料展 开了回顾性分析,现报道如下。
中国CT和MRI杂志
第13卷, 第 12 期
2015年12月
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