阑尾黏液性囊腺瘤的MSCT诊断价值  

The value of MSCT in the diagnosis of appendix mucinous cystadenoma

作　　者：黄贤藏 王斯妮[3] 贺辉[4] 陈耀孟 诸凤 陈伟[4] HUANG Xiancang;WANG Sini;HE Hui;CHEN Yaomeng;ZHU Feng;CHEN Wei(Department of Radiology, Wenzhou People's Hospital, Wenzhou 325000, P.R.China;Department of Child Healthcare, Wenzhou People's Hospital, Wenzhou 325000, P.R.China;Department of Radiology, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, P.R.China;Department of Radiology, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou 325000, P.R.China)

机构地区：[1]浙江省温州市人民医院放射科,浙江温州325000 [2]浙江省温州市人民医院儿童保健科,浙江温州325000 [3]温州医科大学附属第一医院放射科,浙江温州325000 [4]温州医科大学附属第二医院放射科,浙江温州325000

出　　处：《医学影像学杂志》2021年第7期1225-1227,1246,共4页Journal of Medical Imaging

摘　　要：目的探讨阑尾黏液性囊腺瘤的MSCT影像表现。方法选取经手术病理证实的17例阑尾黏液性囊腺瘤的临床及CT影像资料,其中6例平扫,11例增强扫描,所有17例均行CT薄层重建。结果阑尾黏液性囊腺瘤多表现为右下腹长茄状、类圆形、不规则状液性低密度,边界清晰,囊壁稍增厚、可见毛糙,囊壁见蛋壳样、结节状、斑点状钙化,囊壁、分隔及壁结节轻度强化。少见表现为腹膜腔假性黏液瘤、肠套叠、囊壁明显增厚以及囊壁明显强化。结论阑尾黏液性囊腺瘤具有一定CT特征性表现,MSCT更有利于对其作出准确诊断及鉴别。Objective To investigate the MSCT image findings of appendix mucinous cystadenoma.Methods The clinical and CT image findings of 17 cases of appendix mucinous cystadenoma confirmed by operation and pathology were analyzed retrospectively,including 6 cases of plain CT scan,11 cases of contrast enhancement and 17 cases of thin-slice reconstruction.Results Appendix mucinous cystadenoma usually presented as long eggplant like,round like and irregular fluid low density in the right lower abdomen,clear boundary,slightly thickened and rough cystic wall,eggshell like,nodular and speckled calcification in the cystic wall,and slight enhancement in the cystic wall,septum and wall nodule.The atypical performance was peritoneal pseudomyxoma,intussusception,obvious thickening of capsule wall,and obvious enhancement of capsule wall.Conclusion Appendix mucinous cystadenoma has certain CT characteristics.MSCT is more conducive to its accurate diagnosis and differentiation.

关 键 词：阑尾 黏液性囊腺瘤 体层摄影术 X线计算机 

分 类 号：R735.3[医药卫生—肿瘤] R814.42[医药卫生—临床医学]