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磁共振成像对四脑 室区肿瘤的诊断与 鉴别诊断

作者:杨宏志1 杨如武1 李延静2 刘国军1

所属单位:1.西电集团医院医学影像科 (陕西 西安 710077) 2.延安大学附属医院东关分院放射 科 (陕西 延安 716000)

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摘要

目的 回顾性分析四脑室区肿瘤 MR表现,旨在提高对四脑室区肿瘤定位及 诊断水平。方法 回顾性分析26例经手 术病理证实的四脑室区肿瘤MR资料。结 果 MR可多方位显示病灶位置、内部信号 及强化特点,本组病例影像诊断符合率 92.3%。结论 磁共振是四脑室区肿瘤首选 检查技术,能为临床术前评估和术后疗效 评价提供较为精准影像信息。

Objective To study the MR features of tumours of the four ventricle region, in order to improve the positioning and diagnosis level of tumours of the four ventricle region. Methods The MR images of 26cases of tumor in four ventricle region confirmed by pathology and the operation were analyzed retrospectively. Results MRI can display the location of the focus in many directions, the internal signal and the strengthening characteristics. The diagnostic coincidence rate is 92.3%. Conclusion MR is the preferred examination technology evaluating tumours of the four ventricle region, which can provide the more accurate image information for clinical preoperative evaluation and evaluation of curative effect.

【关键词】四脑室区肿瘤;磁共振成像

【中图分类号】R739.41;R445.2

【文献标识码】A

【DOI】 10.3969/j.issn.1672- 5131.2018.02.039

前言

四脑室区肿瘤是指起源于四脑室壁或脉络丛组织、脑室周围结构 并向脑室内侵犯的一类肿瘤,易引起梗阻性脑积水并产生相应临床症 状[1]。术前准确诊断对临床手术路径选择和术后疗效评价意义重大。 MR是目前首选检查技术,可较好显示病变部位、信号特点及与四脑室 关系。本研究讨论分析经手术病理证实的26例四脑室区肿瘤MR表现, 旨在提高术前诊断准确率。