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35例累及颈动脉间隙病变的影像分析

Imaging analysis of thirty-five patients with carotid space were involved

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【作者】 殷磊; 李恒国;

【Author】 YIN Lei,LI Heng-guo (Medical Imaging Center,First Affiliated Hospital,Jinan University, Guangzhou 510630,China)

【机构】 暨南大学附属第一医院医学影像中心; 暨南大学附属第一医院医学影像中心 广东广州510630; 广东广州510630;

【摘要】 目的:探讨邻近或转移性病变累及颈动脉间隙的影像特点。方法:搜集35例疾病经临床病理证实患者的影像资料,分析其病变累及颈动脉间隙的影像学表现。结果:转移性淋巴结20例(占57%)均推压、包绕颈动脉间隙内血管。淋巴瘤7例(占20%)均为推移颈动脉间隙内血管。其他病变(8例,占23%)如神经鞘瘤等均以推压为主,使颈动脉间隙内血管移位。10例恶性肿瘤及1例病灶感染(占31%)则表现为病变与血管之间的脂肪层消失。结论:转移性淋巴结多为包绕颈动脉间隙内的血管。淋巴瘤及良性肿块主要是推移颈动脉间隙内的血管。

【Abstract】 Aim: To analyze retrospectively the imaging features of neighbouring and metastatic lesions which involved carotid space.Methods: Thirty-five patients with neck lesions(included lymph nodes) proven by clinical pathology,analyzed their imaging manifestation which involved carotid space.Results: Twenty cases of metastatic lymph nodes(57%)showed displace and encompassment blood vessel of carotid space.Seven cases(20%)of lymphoma showed displace blood vessel of carotid space.Others(eight case,23%,neurilemmoma,and so on) showed displace blood vessel of carotid space.The fat septa vanished(31%) between lesions and blood vessel in twelve malignancy lesions and one lesion.Conclusion:Metastatic lymph nodes show encompassment of blood vessel in carotid space.Lymphoma and benign lesions appear displace blood vessel in carotid space.

  • 【文献出处】 暨南大学学报(医学版) ,Journal of Jinan University(Medicine Edition) , 编辑部邮箱 ,2007年02期
  • 【分类号】R730.4
  • 【下载频次】54
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