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作 者:李焯洪 冯庆瑜 阮卫锋 Li Zhuohong;Feng Qingyu;Ruan Weifeng(Deparment of Radiology, The Chinese Traditional Medicine Hospital of Qingyuan , Qingyuan Guangdong 511500)
机构地区:[1]广东省清远市中医院影像科
出 处:《现代医用影像学》2018年第1期9-11,共3页Modern Medical Imageology
摘 要:目的:研究64层螺旋CT在阑尾黏液性囊腺瘤中的临床诊断效果及价值,为临床提供依据。方法:选取2012年5月—2017年4月医院诊治的阑尾黏液性囊腺瘤患者19例,采用64层螺旋CT诊断,将64层螺旋CT诊断与术后诊断结果符合率进行比较。结果:(1)位置。19例阑尾黏液性囊腺瘤发病位置多样,排在前2位的分别为:回盲部位、右髂窝,分别占:57.9%及26.3%;(2)形态。11例形态不规则,多为长茄子形;8例呈现椭圆或球形。(3)大小。阑尾黏液性囊腺瘤短径(3.2±0.9)cm,长径(5.3±1.5)cm,长径/短径比值为(1.65±0.8)cm。(4)边界。9例边界不清楚,10例边界清楚;(5)囊壁。阑尾黏液性腺瘤囊壁厚度平均(3.1±0.3)mm。12例囊壁厚度均匀,7例内壁光滑。结论:64层螺旋CT诊断阑尾黏液性囊腺瘤诊断、定位效果理想,能清晰显示病灶的形态与毗邻见的联系,具备一定特征性,利于患者术前诊断,值得推广应用。Objective: To study the 64-slice CT diagnosis of clinical effectiveness and value in the appendix mucinous cystadenoma,provide the basis for clinical practice. Methods: May 2012—2017 April 19 appendiceal mucinous cystadenoma patients to hospital for treatment,the use of 64-slice spiral CT,64-slice CT in diagnosis and postoperative diagnosis coincidence rate were compared. Results:(1) position. 19 cases of appendiceal mucinous cystadenoma incidence varied position,the top two were: ileocecal area,right iliac fossa,accounting for: 57. 9% and 26. 3%;(2) morphology. 11 cases of irregular shape,mostly long eggplant-shaped; 8 cases presenting an elliptical or spherical.(3) size. Appendiceal mucinous cystadenoma short diameter(3. 2 ± 0. 9) cm,long diameter(5. 3 ± 1. 5) cm,long diameter/short diameter ratio(1. 65 ±0. 8) cm.(4) border. 9 cases of boundary is not clear,10 cases of clear boundary;(5) wall. Appendiceal mucinous adenoma average wall thickness(3. 1 ± 0. 3) mm. 12 cases of uniform wall thickness,smooth inner wall 7 cases. Conclusion: 64-slice spiral CT diagnosis of appendiceal mucinous cystadenoma diagnosis,ideally positioned effect,can clearly show the morphology of the lesion and the adjacent common contact,with a certain characteristic,beneficial preoperative diagnosis,should be widely applied.
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