X线与CT诊断垂体腺瘤的临床应用价值(附25例分析)  

Diagnostic value of CT and X-ray on pituitary adenoma(analysis of 25 case)

作　　者：周万勇[1] 王世芳[1] 付延森 

机构地区：[1]山东省荣军总医院放射科,山东济南250013

出　　处：《医学影像学杂志》2003年第9期645-647,共3页Journal of Medical Imaging

摘　　要：目的 :探讨X线与CT对垂体腺瘤的诊断价值。方法 :回顾分析经手术和病理证实的 18例X线检查和 2 4例CT扫描资料 ,并对同经X线和CT检查的 17例进行对照分析。结果 :本组 2 5例中 ,X线阳性检出率为 6 6 .7% ( 12 / 18) ,CT阳性检出率为 95 .7% ( 2 3/ 2 4 )。同经X线和CT检查 17例中 ,X线、CT的诊断符合率分别为 6 4 .7% ( 11/ 17)和 94 .1( 16 / 17)二者联合应用经手术病理证实诊断符合率为 10 0 %。结论 :X线检查根据肿瘤引起的蝶鞍骨质改变做诊断 ,而CT除可观察骨质改变外可直接显示肿瘤的大小、形态、内部结构及其发展方向 ,两者联合运用 ,必将提高本病的正确诊断率。Objective:To investigate the diagnostic value of the X ray and CT in diagnosis of pituitary adenoma.Methods:The analyzed 18 cases X ray and 24 cases CT scanning in sphenoid and the control analysis with 17 cases were made.Results:X ray positive rate is 66.7%(12/18), CT positive rate is 95.7%(23/24), The 17 cases by X ray and CT examinartios,Theire diagnostic rate is 64.7%(11/17) and 94.4%(16/17) separately,The combination diagnostic trate is 100% with pathology provement.Conclusion:The X ray diagnosis can be made by the change of sphenoid structure which caused by neoplasms.The CT examination can reveal the size,morphology,inner structure and the developing direction.The examination will improve the diagnosis rate of the disease with the combination of X ray and CT scanning.

关 键 词：垂体腺瘤 X线诊断 体层摄影术 X线计算机 

分 类 号：R739.41[医药卫生—肿瘤] R814.41[医药卫生—临床医学]