上腹部肿瘤累及门腔间隙患者多层螺旋CT表现  

Multi-slice CT finding of upper abdominal tumor involved in portacaval space

作　　者：朱玉春[1] 郭雨亭 王建良[1] 朱敏[1] 沈纪芳[1] 

机构地区：[1]昆山市第一人民医院放射科,江苏昆山215300 [2]南通大学医学院

出　　处：《中华实用诊断与治疗杂志》2015年第11期1131-1132,共2页Journal of Chinese Practical Diagnosis and Therapy

基　　金：苏州市2012年度科技发展计划项目(SYSD2012025);昆山市第一人民医院首批"131人才工程"培养专项基金(昆人医2013-16)

摘　　要：目的探讨上腹部肿瘤累及门腔间隙的多层螺旋CT(multi-slice CT,MSCT)影像表现。方法 65例上腹部肿瘤患者均行MSCT检查,观察门腔间隙累及情况,总结其MSCT影像表现。结果 12例门腔间隙无明显异常;病灶累及门腔间隙53例,MSCT表现为肿瘤直接侵犯门腔间隙7例(13.2%),肝尾状叶增大8例(15.1%),门腔间隙淋巴结肿大37例(69.8%),血管增多10例(18.9%),胆管增粗24例(45.3%),腹腔积液9例(16.9%)。结论上腹部肿瘤病变常累及门腔间隙,MSCT可清晰显示肿瘤累及门腔间隙的情况。Objective To explore the structural changes of multi-slice CT （MSCT） of upper abdominal tumor involved in portacaval space. Methods The CT data of 65 patients with upper abdominal tumor received MSCT scan and were observed the changes of portacaval space to summarize its MSCT features. Results Among 65 patients with upper abdominal tumor, 12 had no obviously abnormal changes, and 53 had tumor involved in portacaval space including tumor direct invasion of portacaval space in 7 patients （13. 2%）, enlargement of liver caudate lobe in 8 （15. 1%）, lymphadenectasis in 37 （69. 8%）, increased blood vessels in 10 （18. 9%）, thickened bile duct in 24 （45. 3%）, and seroperitoneum in 9 （16.9 %）. Conclusion Tumor in the upper abdomen often involves in portacaval space, and MDCT images can clearly show the tumor and its involved portacaval space.

关 键 词：上腹部肿瘤病变 门腔间隙 多层螺旋CT 

分 类 号：R730.44[医药卫生—肿瘤]