白血病髓外肝脾肾浸润CT表现及临床意义  

CT Diagnosis and Value of Leukemia Infiltration to the Hepatic、Spleen、Kidney

作　　者：韦树华[1] 赵家年[1] 

机构地区：[1]滁州市第一人民医院,安徽滁州239000

出　　处：《实用医技杂志》2005年第05B期1264-1265,共2页Journal of Practical Medical Techniques

摘　　要：目的:提高对白血病髓外肝肾浸润的影像认识。方法:对6例临床确诊急性淋巴细胞性白血病(ALL)患者的腹部CT资料进行分析;2例平扫,4例平扫及增强扫描。结果:受累浸润的脏器形态有不同程度的增大;肝脏浸润4例,3例呈弥漫性、1例结节性;脾脏浸润2例均表现为弥漫性,肾脏浸润3例,均为双侧,2例弥漫性、1例多发结节性。2例合并累及。增强扫描轻度强化或不强化。结论:白血病累及肝脾肾CT以弥漫性、多发结节性浸润为主要表现,影像学检查对了解白血病肝脾肾的浸润程度与范围、有无并发症和观察治疗反应有重要意义。Objective To improve diagnostis level of leukemia infiltration to the hepatic?spleen?kidney.Methods 6 licnically confirmed cases of lymplyocytic leukemia CT imaging were selected for analyzing,4 cases were examined by CT plain and enhanced scans,3 cases by CT plain scans.Results All size of the infilreation hepatic?spleen?kidwney were enlarged.Hepatic 4 cases,inwhich 3 cases was diffuse infiltration?1 cases multiple nodules,diffuse infiltration of spleen 2 cases,infiltration kidney 3 cases frepuently had bilateral involvement,diffuse infiltration 2 cases?multiple nodules 1 cases.All cases was mild or no enhancemem.Conclusion Main features of Leukenia infiltration was showed by diffuse and multiple nodules imaging,CT may play an important role in showing range?response to treatment and complication of chemotherapy.

关 键 词：白血病 肝脾肾脏 淋巴细胞 肿瘤浸润 体层摄影术 

分 类 号：R733.7[医药卫生—肿瘤]