脾脏囊性病变的CT表现  

CT findings of splenic cystic lesions

作　　者：梁挺[1,3] 廉洁 刘衡 杨健[1,3] 

机构地区：[1]西安交通大学第一附属医院影像科,陕西西安710061 [2]西安交通大学第一附属医院病理科,陕西西安710061 [3]西安交通大学生物医学信息工程教育部重点实验室生命科学与技术学院,陕西西安710061

出　　处：《实用放射学杂志》2017年第12期1863-1866,共4页Journal of Practical Radiology

基　　金：国家重点研发计划项目（2016YFC0100300）;国家自然科学基金面上项目（81471631,81171317）;2011年教育部“新世纪优秀人才基金支持计划”项目（NCET-110438）;西安交通大学第一附属医院临床研究课题重点项目（XJTUIAF-CRF2015-004）.

摘　　要：目的 探讨脾脏囊性病变（SCL）的CT表现，提高本病的诊断水平。方法 回顾性分析32例经手术病理证实的SCL的CT表现。10例行CT平扫，8例行增强扫描，14例同时行CT平扫和增强扫描。结果 非肿瘤性SCL 19例，其中脾脏寄生虫先天性囊肿7例，非肿瘤性假性囊肿1例，包虫囊肿1例，脓肿2例，血肿8例；肿瘤性SCL 13例，其中脾脏血管瘤5例，囊性淋巴管瘤2例，囊性转移癌6例。SCL的大小、形态、囊壁、密度、强化程度和方式等CT特征有助于非肿瘤性与肿瘤性SCL的鉴别。结论 根据部分SCL的CT平扫和增强表现，术前可做出正确诊断，为临床治疗方案的选择及预后判断提供理论依据。Objective To explore the CT features of splenic cystic lesions （SCL} in order to improve the diagnostic ability of these diseases. Methods The CT findings of 32 patients with SCL proved by surgical pathology were reviewed retrospectively. Of the patients, 10 underwent plain CT scan,8 underwent enhanced CT scan, and 14 underwent both plain and enhanced CT scan. Results Non-tumor splenic cystic lesions were 19, including 7 congenital cysts,1 pseudocyst, 1 hydatid cyst,2 abscesses and 8 hematomas.Spleen tumor lesions were 13, including 5 angiomas,2 splenic cystic lymphangiomas and 6 cystic metastases.The CT characteristics in size,shape, cyst wall,density and enhancement feature can help to discriminate non-neoplasm and neoplasm cyst. Conclusion With the plain and enhanced CT manifestations of some SCL, we could make correct preoperative diagnosis, and provide theoretical basis for selection of clinic treatment and prognostic judgment.

关 键 词：脾脏 囊性病变 计算机体层成像 

分 类 号：R551.1[医药卫生—血液循环系统疾病] R814.42[医药卫生—内科学]