食管平滑肌瘤的影像学诊断并文献学习  

Imaging Diagnosis of Esophageal Leiomyoma and Literature Study

作　　者：李娜[1] 

机构地区：[1]南京航空航天大学医院放射科,江苏南京210016

出　　处：《中国继续医学教育》2017年第24期64-65,共2页China Continuing Medical Education

摘　　要：目的回顾性分析食管平滑肌瘤的影像学表现及鉴别诊断。方法回顾性分析经手术证实为食管平滑肌瘤的12例患者的临床资料及食管钡剂造影与CT影像学表现。结果所有病例食管钡剂造影表现为圆形或椭圆形充盈缺损。11例CT表现为食管一侧壁软组织密度肿块或结节影,管腔受压变窄,3例肿块内有斑点样钙化,6例黏膜面分界不清,1例多发,1例向管腔内外生长。所有病例CT增强轻中度强化。结论食管平滑肌瘤食管钡剂造影检查可提示良性病变,但有时定性较困难,CT及增强能显示肿瘤的大小、范围、部分良性影像学特征,并提供相应的鉴别诊断能力。Objective Retrospective analysis of imaging features anddifferential diagnosis of esophageal leiomyoma. Methods The clinicaldata of 12 patients with esophageal leiomyoma confrmed by surgery andbarium chloride and CT imaging were retrospectively analyzed. ResultsAll cases showed round or oval flling defect. 11 cases of CT, the density ofsoft tissue masses or nodules on one side of the esophagus was narrowedand the lumen was compressed, there were 3 cases of spot like calcifcation,the demarcation of mucosa surface was not clear in 6 cases, 1 case weremultiple, 1 case grew inside and outside the lumen. CT enhanced mild tomoderate enhancement in all cases. Conclusion Leiomyoma of esophagusesophageal barium examination may indicate benign lesions, but sometimesqualitative is difcult, CT and enhanced features of tumor size, scope, somebenign images, and provide the corresponding diferential diagnosis.

关 键 词：食管平滑肌瘤 食管钡剂造影 CT 

分 类 号：R445[医药卫生—影像医学与核医学]