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21例脑膜瘤影像表现及误诊病例分析

Imaging manifestations and misdiagnosis of 21 cases of meningioma

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【作者】 王汉卿孙玉鸿许传斌孟凡荣田佳明王渤文

【Author】 WANG Han-qing;SUN Yu-hong;XU Chuan-bin;MENG Fan-rong;TIAN Jia-ming;WANG Bo-wen;First Affiliated Hospital of Jiamusi University;

【通讯作者】 孙玉鸿;

【机构】 佳木斯大学附属第一医院

【摘要】 目的:回顾与探讨不典型脑膜瘤的影像表现及误诊原因,进一步提高诊断水平。方法:收集经手术后病理证实为不典型脑膜瘤的患者21例,行CT和(或)MRI平扫及增强检查。结果:钙化脑膜瘤8例,囊性脑膜瘤5例,多发脑膜瘤3例,脑实质内脑膜瘤1例,类血管外皮细胞瘤4例。结论:不典型脑膜瘤虽具有某些与其他类型肿瘤很相似的一部分影像学表现,但仍然具有一定的典型的影像学特征。这就需要我们找到最重要的诊断关键点,同时要了解和掌握不典型脑膜瘤可能具有的某些影像表现,借以提高对不典型脑膜瘤的诊断准确率,减少或避免误诊的发生。

【Abstract】 Objective: Retrospective study of imaging manifestations and causes of misdiagnosis of atypical meningiomas, Further Improvement of Diagnostic Level. Method:21 patients with atypical meningioma confirmed by pathology after operation were collected. CT and/or MRI plain and enhanced examinations were performed. Result: Calcified meningiomas were found in 8 cases, 5 cases of cystic meningioma, Multiple meningiomas were 3 cases, 1 case of intraparenchymal meningioma and 4 case was Hemangiopericytoma was. Conclusion:Atypical meningiomas have some imaging features similar to other types of tumors, But it still has some typical imaging features.This requires us to find the most important diagnostic key points. at the same time, we should understand and master some imaging manifestations of atypical meningiomas, to improve the diagnostic accuracy of atypical meningiomas, to reduce or avoid misdiagnosis.

【关键词】 脑膜瘤磁共振成像CT断层扫描误诊分析
【Key words】 meningiomaMRICTmisdiagnosisanalysis
  • 【文献出处】 黑龙江医药科学 ,Heilongjiang Medicine and Pharmacy , 编辑部邮箱 ,2019年03期
  • 【分类号】R445.2;R730.44;R739.45
  • 【被引频次】3
  • 【下载频次】196
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