MSCT对阑尾粘液性囊腺瘤的诊断价值  

The Value of Multi-slice Spiral CT in the Diagnosis of Appendix Mucinous Cystadenoma

作　　者：李逢芳[1] 张娣[1] 陈慧铀 

机构地区：[1]南京医科大学附属南京医院(南京市第一医院)医学影像科,江苏南京210006

出　　处：《中国医疗设备》2016年第2期73-76,共4页China Medical Devices

摘　　要：目的探讨多层螺旋CT(MSCT)对阑尾粘液性囊腺瘤的诊断价值。方法回顾性分析我院经病理证实的12例阑尾粘液性囊腺瘤患者的临床资料及MSCT影像学资料。结果 12例阑尾粘液性囊腺瘤中,4例伴有感染,其中2例肿瘤破裂并发生腹腔种植。病灶位于右下腹回盲部10例,盆腔内2例。CT轴位表现为圆形或类圆形囊性肿块9例,分叶状1例,逗号状2例;多平面重组(MPR)表现为管状、梭形及分叶状。3例囊壁厚薄不均,1例囊内见分隔,3例囊壁见钙化,增强扫描10例囊壁见轻中度强化。结论 MSCT能清晰显示阑尾粘液性囊腺瘤的位置、形态、强化特点等,可为术前诊断及手术治疗提供重要的参考依据。Objective To investigate the value of multi-slice spiral CT（MSCT） in the diagnosis of appendix mucinous cystadenoma（AMC）. Methods The clinical data and MSCT imaging data of twelve patients clinically diagnosed with AMC in our hospital were retrospectively analyzed. Results Among the twelve cases with AMC, four cases were associated with infection, including two cases of tumor rupture with peritoneal implantation. Ten masses were located in the right lower abdomen near the ileocecal area, two masses were in pelvic cavity. Nine cases were round or oval cystic mass in CT axial, one case was lobulated, two cases were comma-shaped. All the cases were tubular or shuttle shaped and lobulated in multiplanar reconstruction images. Three cases showed cystic walls with uneven thickness, one case showed intracapsular with separation, three cases showed calcification. The cystic wall of ten cases showed moderate enhancement. Conclusion MSCT can show the location, shapes, and characteristics of enhancement, which can provide important reference basis for the preoperative diagnosis and surgical treatment of AMC.

关 键 词：阑尾粘液性囊腺瘤 MSCT 多平面重组 

分 类 号：R735.36[医药卫生—肿瘤] R814.42[医药卫生—临床医学]