Addison病的CT诊断和分型  

CT Diagnosis and Classification of Addison's Disease

作　　者：任小波[1,2] 裴爱国 孙革利[1,2] 赵荣国[1,2] 

机构地区：[1]中国医学科学院中国协和医科大学北京协和医院放射科 [2]山东省曲阜市中医院放射科

出　　处：《临床放射学杂志》1998年第2期92-95,共4页Journal of Clinical Radiology

摘　　要：目的：探讨ＣＴ对各型Ａｄｄｉｓｏｎ病的诊断价值。材料与方法：根据临床表现、实验室检查和ＣＴ检查对３４例Ａｄｄｉｓｏｎ病进行了分类，其中结核性２４例，自身免疫性１０例。对肾上腺区域进行非增强薄层ＣＴ扫描。结果：结核性Ａｄｄｉｓｏｎ病中，６３％有肾上腺钙化（其中病程长于２年者为１００％，病程短于２年者为３６％）；７９％肾上腺增大（其中病程长于２年者为５０％，病程短于２年者为１００％）。自身免疫性Ａｄｄｉｓｏｎ病中，７０％肾上腺萎缩（均为幼儿患者或幼时起病的成年患者），３０％肾上腺正常或增大；所有病例均无肾上腺钙化。结论：大多数（７１％）的Ａｄｄｉｓｏｎ病可由ＣＴ检查明确类型，结核性Ａｄｄｉｓｏｎ病的肾上腺钙化和自身免疫性Ａｄｄｉｓｏｎ病的肾上腺无钙化性萎缩具有特征性。Objective: To discuss the diagnostic value of CT of Addison's disease.Materials and Methods:34 cases of Addison′s disease were divided according to clinical history, laboratory data and CT results, 24 cases were tuberculous, 10 cases were idiopathic. Unenhanced CT scanning of the adrenal glands were performed in all patients.Results:In 24 cases of tuberculous Addison′s disease, 63% cases had calcification (100% in patients more than 2 years duration, 36% in patients less than 2 years duration), 79% showed adrenal gland enlargement (50% in patients more than 2 years duration, 100% in patients less than 2 years duration); In 10 cases of idiopathic Addison′s disease, 70% showed adrenal atrophy, 30% had normal or enlarged adrenal gland, none of the idiopathic type cases had adrenal calcification.Conclusion: The cause of Addison′s disease can be determined by CT scans in most cases (71%). Adrenal calcification and noncalcified adrenal atrophy are specific signs in the classification of Addison′s disease. Tuberculous leisons show marked different morphologic changements according to different duration of the diseases.

关 键 词：ADDISON病 CT 分型 肾上腺机能减退 

分 类 号：R586.104[医药卫生—内分泌]