肾上腺结核的CT诊断和分期  

CT diagnosis and staging of adrenal tuberculosis

作　　者：任小波[1] 杨瑜 陆菁菁[1] 

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,100730 [2]北京市隆福医院CT室

出　　处：《中华放射学杂志》2002年第8期741-743,共3页Chinese Journal of Radiology

摘　　要：目的　探讨肾上腺结核患者的肾上腺CT特征与病程长短的关系 ,并提出新的分期标准。方法　对临床确诊的 2 8例肾上腺结核患者的CT特征进行回顾性分析。按病程长短分A组(10例 ,病程短于 1年 )、B组 (13例 ,病程 1～ 4年 )和C组 (5例 ,病程长于 4年 )分析肾上腺大小、形态、钙化及局限性低密度等变化。结果　肾上腺增大 :A组 10例 ,B组 13例 ,C组 1例 ;形态 :A组可分辨肾上腺轮廓 ,B组和C组完全失去肾上腺正常形态 ;钙化 :A组 2例 ,B组 11例 ,C组 5例 ;局限性低密度 :仅见于A组 3例。结论　肾上腺结核的CT特征与病程长短有关。根据CT表现不同将肾上腺结核分为Ⅰ期。Objective To evaluate correlation of CT features of tuberculous adrenal glands with duration of adrenal insufficiency and propose a new staging criteria for adrenal TB Methods CT features of 28 cases of documented adrenal tuberculosis were analysed retrospectively The patients were divided into 3 groups according to the duration of adrenal insufficiency: group A (10 cases , less than 1 year), group B (13 cases, 1 year to 4 years), group C (5 cases, longer than 4 years) The main CT features analyzed included size and shape of the adrenal gland, calcification ,and low density foci Results Enlargement of the adrenal gland: group A(10) , group B (13), group C (1) Basic configuration of adrenal gland were identifiable in group A ,whereas others had more irregular shape Calcification: group A (2) , group B (11),group C (5) Low density foci: group A (3), group B(0), group C (0) Conclusion CT features of adrenal glands correlated with duration of adrenal insufficiency in adrenal tuberculosis It is more reasonable to use tri phase criteria according to CT appearance in adrenal tuberculosis

关 键 词：肾上腺结核 CT 诊断 分期 肾上腺疾病 

分 类 号：R52[医药卫生—内科学]