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儿童管型肠重复畸形的影像学诊断

CT and US diagnosis of enteric duplication tubular cysts in children

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【作者】 程建敏陈肖鸣杨兴惠王清扬

【Author】 CHENG Jianmin , CHEN Xiaoming, YANG Xinghui, et al. *Department of Radiology, the Second Affiliated Hospital, Yuying Children Hospital, Wenzhou Medical College, Wenzhou 325027,China

【机构】 温州医学院附属第二医院育英儿童医院放射科浙江大学医学院附属儿童医院

【摘要】 目的 探讨儿童管型肠重复畸形的影像特征。方法 研究分析 6例经手术病理证实的儿童管型肠重复畸形的CT、超声及胃肠造影 (GI)资料。结果 肠重复畸形囊肿CT检查 5例均表现为单房、厚壁囊性肿块 ,囊壁可见“晕轮征” ,其中 2例与肠管交通者可见囊内含气征。囊肿均呈肠管状或“∪”形走向。B超表现与CT所见类似 :6例均呈囊性、长管状 ,类似内充液体的扩张肠管 ,管(囊 )壁可见“双环圈征” ,其中 2例部分囊壁局限性增厚。囊壁蠕动收缩征 4例。胃肠造影检查 3例 :1例重复囊腔充钡显示 ,内壁黏膜呈“鹅卵石”样改变 ,2例阴性。结论 超声、CT的特征性征象可为肠重复畸形术前提供可靠准确的诊断

【Abstract】 Objective To investigate the CT and ultrasonographic characteristics of enteric duplication tubular cyst. Methods CT and ultrasonography(US)of 6 cases with enteric duplication tubular cyst were analyzed.CT scanning was performed in 5 cases,US in 6 cases and GI in 3 cases. Results CT revealed cystic lesions with“soft tissue rim sign”, contiguous to a segment of normal bowel( n =5),in which 2 cases demonstrated gas bubbles. The appearance of US was quite similar to CT. There was an anechoic fluid filled lumen with a double layered surrounding wall (double wall sign)( n =6),in which 4 cases revealed peristalsis sign.In 1 case GI demonstrated barium filled cystic tubular dilatation with “cobblestone” patten of mucosa. Conclusion The characteristic CT and US manfestations were highly diagnostic of enteric duplication tubular cyst.

  • 【文献出处】 中华放射学杂志 ,Chinese Journal of Radiology , 编辑部邮箱 ,2000年12期
  • 【分类号】R816.92
  • 【被引频次】28
  • 【下载频次】222
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