肾上腺髓脂瘤的CT诊断  

CT Diagnosis of Adrenal Myelolipoma

作　　者：戚跃勇[1] 孙清荣[1] 张启川[1] 周波[1] 熊坤林[1] 戴书华[1] 

机构地区：[1]第三军医大学新桥医院放射科,重庆400037

出　　处：《放射学实践》2007年第3期271-273,共3页Radiologic Practice

摘　　要：目的:探讨肾上腺髓脂瘤的CT特征,以提高其CT诊断水平。方法:由两位有经验的放射学医生共同回顾性分析18例经手术病理证实的肾上腺髓脂瘤的CT表现,并达成一致意见。结果:多脂肪型11例,少脂肪型7例。7例合并钙化,2例合并出血,13例增强扫描无明显强化。CT诊断符合率为88.9%。结论:CT对肾上腺髓脂瘤的诊断具有较高的敏感性和特异性,其内的脂肪成分有利于诊断与鉴别诊断。Objective：For improving the CT diagnostic accuracy of adrenal myelolipoma （AML）,CT features of the disease were studied. Methods.. The CT findings of 18 surgically and pathologically proven cases of AML were retrospectively analyzed. The CT findings of the 18 cases of AML were studied in a double blind manner and a consensus of the diagnosis of AML was independently made by 2 experienced radiologists. Results： Among the 18 cases of AML, more tumor components of fat were found in 11 cases,while in the other 7 cases less tumor components of fat were shown. 7 cases with calcification and 2 cases complicated with hemorrhage were noted. No obvious contrast enhancement on postcontrast scans in 13 cases was demonstrated. The CT diagnostic compatibility rate was 88.9 %. Conclusion： CT diagnostic sensitivity and specificity of AML were rather high, and the tumor component of fat was beneficial to the establishment of accurate diagnosis and differential diagnosis.

关 键 词：肾上腺肿瘤 体层摄影术 X线计算机 

分 类 号：R736.6[医药卫生—肿瘤]