肾上腺结核的CT诊断与鉴别诊断  

CT diagnosis and differential diagnosis of the adrenal tuberculosis

作　　者：袁明远 包相华 韦玉新 黄社磊 胡国栋 

机构地区：[1]东莞康华医院放射科,广东523080

出　　处：《放射学实践》2011年第9期938-940,共3页Radiologic Practice

摘　　要：目的:探讨肾上腺结核CT诊断及鉴别诊断价值。方法:回顾性分析经临床确诊的21例肾上腺结核患者的CT资料和临床资料。重点分析钙化特点与强化特点及其在鉴别诊断中的意义。21例均行CT平扫,13例同时行CT增强扫描。结果:单侧发病4例,双侧发病17例。肾上腺存在并体积增大10例,肾上腺存在并体积缩小2例,失去肾上腺正常形态9例。有钙化密度病灶15例,无钙化低密度病灶6例。全部13例增强扫描病例均出现明显边缘强化。21例中有5例误诊。结论:肾上腺结核多双侧发病,病灶边缘强化和钙化是较特征性CT表现,其程度与病程有关。Objective：To determine the CT characteristics of adrenal tuberculosis and analyze its differential diagnosis.Methods：The unenhanced and contrast-enhanced CT features in 21 patients with adrenal tuberculosis were retrospectively assessed for the location,contour,size,calcification,attenuation,and enhancement patterns.The correlation between the duration of the disease and the percentage of calcification presence was intensively evaluated,while more discussion performed with the spectrum of the differential diagnosis on the non-tuberculosis disease of adrenal gland.Results：The adrenal glands were involved bilaterally in 17 cases,single gland involved in 4 cases.Glands enlarged in 10 cases,atrophy in 2 cases while mass shape in 9 patients.Calcification was revealed in 15 cases.13 of 21 cases showed peripheral enhancement.7 of 21 cases were regarded as other diseases.Conclusion：CT can reveal the characteristics of CT features in the adrenal tuberculosis.Bilateral lesions and calcification with peripheral enhancement in the lesion can suggest tuberculosis.

关 键 词：结核 内分泌系统 肾上腺 体层摄影术 X线计算机 诊断 鉴别 

分 类 号：R816.6[医药卫生—放射医学] R529.0[医药卫生—临床医学]