猫抓病CT表现与病理诊断  

CT Manifestations of Cat-scratch Disease

作　　者：纪祥[1] 吕建广[1] 陈广峰[2] 

机构地区：[1]广东省肇庆市第二人民医院CT室,526060 [2]广东省肇庆市第二人民医院病理室,526060

出　　处：《临床放射学杂志》2004年第7期610-612,共3页Journal of Clinical Radiology

摘　　要：目的　评价CT对猫抓病的诊断价值 ,提高对猫抓病CT诊断水平。资料与方法　分析 12例经临床及病理证实的猫抓病的CT表现并与病理对照。结果　 12例CT像上均见病变区肿大淋巴结 ,直径 1～ 6cm ,增强扫描轻度强化 3例 ,环形强化 1例 ,无强化 2例。其病理改变为 :组织细胞增生期 2例 ,肉芽肿形成期 2例 ,脓肿形成期 8例。结论　CT可显示猫抓病所引起的淋巴结炎性肿大 ,结合临床有猫抓、咬伤史 。Objective To evaluate CT in the diagnosis of cat-scratch disease.Materials and Methods CT findings in 12 cases with clinically- and pathologically-proved cat-scratch disease were retrospectively analyzed and compared with pathologic results.Results On CT scan, lymphadenopathy was found in all 12 cases. The enlarged lymph nodes had a diameter of 1～3 cm. On enhanced scanning, the lymph nodes showed mild enhancement in 3 cases, circular enhancement in one case and no enhancement in 2 cases. Pathologically, the disease was in histiocytosis stage in 2 cases, in granulation stage in 2 cases and in abscess stage in 8 cases. Conclusion CT can detect lymphadenopathy caused by cat-scratch disease. A combination of lymphadenopathy with clinical history of cat scratching is very helpful for the diagnosis of the disease.

关 键 词：猫抓病 CT表现 病理诊断 组织细胞增生 

分 类 号：R516[医药卫生—内科学]