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多层螺旋CT在儿童颈部囊状淋巴管瘤的应用
Application of Multislice CT in the Diagnosis of Cystic Lymphangioma in the Neck in Children
【摘要】 目的:探讨MSCT对儿童颈部囊状淋巴管瘤的诊断价值。方法:回顾性分析15例经病理证实的儿童颈部囊状淋巴管瘤MSCT表现并与手术病理所见对照。结果:儿童颈部囊状淋巴管瘤MSCT的特点:①多囊性;②可出现"液-液平面"征象;③沿疏松结缔组织生长;④增强扫描囊壁不强化或轻度强化,囊内容物不强化;⑤肿瘤包绕血管、神经及脂肪;⑥MSCT可以水平横断面、冠状面、矢状面结合显示病灶。结论:MSCT检查对儿童颈部囊状淋巴管瘤的诊断具有重要价值,有利于手术方案的制订,在评价肿瘤侵犯方面优于超声和普通CT。
【Abstract】 Objective:To evaluate the value of multislice CT (MSCT) in the diagnosis of cystic lymphangioma of neck in children.Methods:The MSCT findings of 15 cases of cystic lymphangioma in the neck in children confirmed by operation and pathology were studied.All patients were performed MSCT before operation.Results:The major MSCT features of cystic lymphangioma included:multiple cysts (n=14);"Liquid-liquid level" sign (n=4);extension in loose connective tissue (n=14);mild or no enhancement in the cyst wall (14 cases),no enhancement in the content of the cyst;encasement of the blood vessel,nerve,and fatty tissue surrounding the lesion (n=13).MSCT can show the lesions from axial,coronal and sagittal planes.Conclusion:MSCT is very useful in diagnosing cystic lymphangioma of neck in children,and helpful to surgical treatment.It is superior to ultrasound and common CT in demonstrating the extension of the lesions.
【Key words】 Pediatries; Lymphangioma; Neck; Tomography,X-ray computed;
- 【文献出处】 放射学实践 ,Radiologic Practice , 编辑部邮箱 ,2007年09期
- 【分类号】R739.91
- 【被引频次】4
- 【下载频次】81