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腹部淋巴结结核的CT诊断

CT Diagnosis of Tuberculosis of Abdominal Lymph Nodes

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【作者】 孙伟英袁建华丁忠祥吴影蔡学祥

【Author】 SUN Wei-ying,YUAN Jian-hua,DING zhong-xiang,et al.Department of Radiology,Zhejiang Provincial People’s Hospital,Hangzhou 310014,P.R.China

【机构】 浙江省人民医院放射科

【摘要】 目的:研究腹部淋巴结结核的CT表现,提高该疾病的诊断及鉴别诊断水平。方法:搜集14例经病理证实的腹部淋巴结结核,观察受累淋巴结的解剖分布、形态及强化方式特征。结果:肠系膜淋巴结受累8例,胰周小网膜10例,脾门1例,腰3平面以上腹膜后间隙6例,脾肿大10例。多房环形强化10例,均匀强化3例,环形强化1例。结论:腹部淋巴结结核CT表现具有一定的特征性,有助于该疾病的诊断及鉴别诊断。

【Abstract】 Objective:To study the CT findings of tuberculosis of abdominal lymph nodes so as to improve its diagnosis and differential diagnosis.Methods:CT images of tuberculosis of abdominal lymph nodes proved histologically in 14 patients were retrospectively analyzed,including anatomical distribution,morphologic features and mode of contrast enhancement.Results:Mesenteric lymph nodes were involved in 8 of 14 patients,the peripancreatic lesser omentum nodes in 10 cases,the nodes in hilum of spleen in one case,the nodes in retroperitoneal space above third lumbar vertebra in 6 cases.Ten cases showed enlarged spleen.Multi-locular and circular enhancement was shown in 10 cases (71.4%),homogeneous enhancement in 3 cases (21.4%),and singular circular enhancement in 1 case (7.1%),respectively.Conclusions:CT appearance of tuberculosis of abdominal lymph nodes is characteristic and has great use for diagnosis and differential diagnosis.

  • 【文献出处】 放射学实践 ,Radiologic Practice , 编辑部邮箱 ,2009年06期
  • 【分类号】R522;R816.3
  • 【被引频次】8
  • 【下载频次】201
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