颈部富血供包块的CT,MRI诊断  

CT and MRI Diagnosis of the Rich-Blood Supply Mass in Neck

作　　者：卢意[1] 冉隆富[1] 俞琴[1] 莫云海[1] 

机构地区：[1]成都市第七人民医院放射科,四川成都610021

出　　处：《现代医用影像学》2016年第3期458-461,共4页Modern Medical Imageology

摘　　要：目的:总结颈部富血供包块的影像学特征,提高诊断水平方法搜集经手术病理证实结果的31例颈部富血供包块患者(增强CT包块强化程度>50HU,增强MRI包块表现为明显强化)回顾性分析其影像学资料,包括包块的部位,大小,形态,边缘,CT,MRI强化形式,并复习相关文献。结果:31例患者中,炎性包块4例,其中机化血凝块一例,血管性包块2例,一例为颈动脉体瘤;一例为曼状血管瘤;肿瘤包块19例,其中良性包块11例,平均强化值87.2HU;恶性包块8例,CT诊断7例,平均强化值81HU;另一例为MRI检查;转移淋巴结5例,其中4例做CT检查,平均强化值93.7HU,另一例为做MRI检查检出。结论:颈部富血供包块多为富血供腺体肿瘤及其转移淋巴结,其次为炎性病灶,血管源性病灶及其它。Purpose： To summarize the Imaging feature of the rich-blood supply mass in neck,to improve the comprehension of it. Materials and Methods： Collect 31 patients with rich-blood supply mass which proved by operative and pathological findings, analyze their Imaging features, including their positiong, size, shape,CT and MRI enhancement forms,and review the related articles. Results： 4 were inflammatory masses,with 1 lung blood clot; 2 Vascular source masses,inlculding 1 carotid body tumors,1 racemose hemangioma. 19 were tumor masses,11 were benign tumors,average reinforcement value was 87. 2HU; 8 of them were malignant tumors,7 were diagnosised by CT,average reinforcement value was 81HU; 1 wad diagnosised by MRI. 5were metastasis lymph nodes,4 were diagnosised by CT,average reinforcement value was 93. 7HU; 1 was diagnosised by MRI. Conclusion： most of the rich-blood supply mass in neck were tumor masses and their metastasis lymph nodes,some were nflammatory masses,Vascular source masses,and so on. The enhanced CT and MRI play important part in the diagnosis of the rich-blood supply mass

关 键 词：颈部富血供包块 电子计算机断层扫描 磁共振成像 

分 类 号：R816.1[医药卫生—放射医学] R445.2[医药卫生—临床医学] R653