CT对右下腹非肠道占位性病变的诊断价值(附70例报告)  

CT Value in the Diagnosis of Non-intestinal Lesions on the Right Lower Abdomen (A Report of 70 Cases)

作　　者：胡兴平[1] 周述岭 周献光[2] 王中秋 彭陵[1] 

机构地区：[1]安徽省铜陵县人民医院放射科,安徽铜陵244100 [2]东南大学附属中大医院放射科 [3]南京军区总院医学影像科

出　　处：《实用放射学杂志》2003年第10期914-918,共5页Journal of Practical Radiology

摘　　要：目的　探讨CT对右下腹非肠道占位性病变的诊断价值。方法　对 70例病人临床上考虑右下腹肿瘤或非肿瘤病变行CT检查 ,除 1例肾下垂外 ,全部病例均经手术或穿刺活检病理证实。结果　 41例良性病变CT表现为边界清楚囊性或实性肿块 ,呈轻到中度强化 ,而脓肿及淋巴结结核显示为环状或多结节状强化 ,边缘多不清。 2 9例恶性肿瘤表现为不规则巨大软组织肿块 ,呈中度或显著不均匀性强化。Objective To evaluate the value of CT scan in diagnosing non-intestinal lesions on the right lower abdomen.Methods CT scan was performed in 70 patients with clinically supected non-intestinal lesions in the right lower abdomen.The diagnosis was confirmed by surgery or biospy in all cases,except 1 case of nephroptosis.Results 41 cases were benign lesions,which appeared as cystic or solid masses with definite bound on plain CT scans and were slight or middle enhanced on contrast enhanced CT scans,but abscess and tuberculosis were showed peripheral or multilocular enhancement with indistinct bound.The remaining 29 cases were malignant masses which presented as large irregular soft tissue mass and inhomogenous enhancement.Conclusion CT scan of certain is value in diagnosis and differential diagnosis of non-intestinal lesions of right lower abdomen.

关 键 词：CT 右下腹 非肠道占位性病变 影像学诊断 临床表现 穿刺活检 

分 类 号：R735[医药卫生—肿瘤] R730.44[医药卫生—临床医学]