期刊文献+

64层螺旋CT对回盲部恶性肿瘤的诊断价值 被引量:8

The diagnostic value of 64-slice spiral CT in malignant tumors arising in the ileocecal area
下载PDF
导出
摘要 目的:探讨回盲部恶性肿瘤的临床病理特点及64层螺旋CT的诊断价值。方法:回顾性分析48例回盲部恶性肿瘤的病理特点及64层螺旋CT表现。结果:腺癌36例,其中以盲肠腺癌为主者28例,阑尾腺癌为主5例,多数病例CT表现为较大的肿块,密度不均、中等强化,浆膜面有浸润;淋巴瘤7例,CT表现为环状或对称性肠壁增厚,密度较均匀,呈轻度强化;恶性胃肠间质瘤2例,CT表现为圆形或类圆形肿块,边界相对较清,周边部分明显强化;转移瘤2例,CT表现为软组织肿块,无特异性。结论:回盲部常见的几种类型恶性肿瘤,采用64层螺旋CT快速增强薄层扫描,利用多平面重建及最大密度投影重建可以充分显示病变的组织学特征,有助于定性诊断。 Objective:To evaluate the diagnostic value of a 64-slice spiral CT in common malignant tumor arising in the ileocecal area.Methods:CT findings of using a 64-slice Spiral CT on 48 patients with pathologically and surgically proven malignant tumors arising in the ileocecal area were retrospectively analyzed.Results:There were 36 cases of adenocarcinoma,including cecal adenocarcinomas(28 cases),adenocarcinomas of the appendix(five cases),adenocarcinomas of the ileocecal valve(three cases),CT features such as a large mass with heterogeneous attenuation or marked asymmetric colic wall thickening,short segment involvement,demonstrated mild local infiltration,with moderate enhancement;seven cases of lymphoma,most commonly manifests as single or multiple segmental areas of circumferential thickening with homogeneous attenuation and poor enhancement;two cases of malignant gastrointestinal stromal tumors,which the CT featured as sharply marginated,round mass,enhancement usually involve only the rim;and two cases of metastatic tumor,which the CT showed a soft-tissue mass heterogeneous attenuation.Conclusion:The histopathlogy features of the malignant tumor arising in the ileocecal area,can be sufficiently manifestated using a 64-slice spiral CT to enhanc the multiplanarreconstruction's,maximum intensity projection,which is valuable for a better quality diagnosis.
出处 《川北医学院学报》 CAS 2012年第2期130-133,共4页 Journal of North Sichuan Medical College
基金 四川省卫生厅科研项目(050280)
关键词 回盲部 恶性肿瘤 体层摄影术 X线计算机 螺旋CT Ileocecal area Malignant tumor Tomography X-ray computed Spiral CT
  • 相关文献

参考文献8

  • 1章万强.回盲部肿瘤的CT表现与病理对照分析[J].医学影像学杂志,2010,20(6):866-869. 被引量:10
  • 2王永贵.解剖学[M]北京:人民卫生出版社,1994245-246.
  • 3Hoeffel C,Crema MD,Belkacem A. Multi-detector row CT:spectrum of diseases involvingthe ileocecal area[J].Radiographics:A Review Publication of the Radiological Society of North America,Inc,2006,(05):1373-1390.
  • 4明兵,李洪,马春,官春兰,何瑜.空回肠常见原发恶性肿瘤的多层螺旋CT诊断[J].实用放射学杂志,2011,27(6):897-899. 被引量:15
  • 5Kim AY,Ha HK,Seo BK. CT of patients with right-sided colon cancer and distal ileal thickening[J].American Journal of Roentgenology,2000,(05):1439-1444.
  • 6Buckley JA,Fisbman EK. CT evaluation of small bowel neoplasms:spectrum of disease[J].Radiographics:A Review Publication of the Radiological Society of North America,Inc,1998,(02):379-392.
  • 7明兵,贺国庆,何瑜,沈兰,赵平武.Crohn病的CT表现[J].中华放射学杂志,2006,40(1):88-91. 被引量:15
  • 8Kim HC,Yang DM,Jin W. Added Diagnostic Value of Multiplanar Reformation of Multidetector CT Data in Patients with Suspected Appendicitis[J].Radiographics:A Review Publication of the Radiological Society of North America,Inc,2008,(02):393-405.

二级参考文献14

  • 1董艳秋,杨军,张建国.影像学检查在回盲部疾病中的诊断及评价[J].内蒙古医学杂志,2005,37(6):527-530. 被引量:3
  • 2田秀岭.原发性胃肠道恶性淋巴瘤28例诊断分析[J].白血病.淋巴瘤,2007,16(1):62-63. 被引量:5
  • 3Gluecker TM,Johnson CD,Harmsen WS,et al.Colorectal cancer screening with CT colonoscopy,and double-contrast barium enema examination:pro-assessment of patiet perceptions and preferences[J].Radiology,2003,227:378-384.
  • 4Hoeffel C,Crema MD.Multi-detector row CT:spectrum of disease invo-lving the ileocecal area[J].Radio Grahics,2006,26:1373-1390.
  • 5Wiesner W,Mortele KJ,Ji H,et al.Normal colonic wall thickness at CT and its relation to colonic distension[J].J Comput Assit Tomogr,2002,26:104-105.
  • 6Pilleul F,Penigaud M,Milot L,et al.Possible small-bowel neoplasms:contrast-enhanced and water-enhanced multidetector CT enteroclysis[J].Radiology,2006,241(10):796-801.
  • 7Buckley J A,Fisbman E K.CT evaluation of small bowel neoplasms:spectrum of disease[J].Radiographics,1998,18(2):379-392.
  • 8吴在德.外科学[M]第5版[M].北京:人民出版社,2000.538-544.
  • 9李果珍 戴建平 王仪生.临床CT诊断学[M].北京:中国科学技术出版社,1994.10.
  • 10张晓鹏.胃肠道CT诊断学[M].沈阳:辽宁科学技术出版社,2000:150—151.

共引文献35

同被引文献60

  • 1殷薇薇,丛振杰,何秋香,吴恩福.阑尾粘液囊肿的CT诊断及其临床价值[J].放射学实践,2005,20(3):235-236. 被引量:22
  • 2孙屹岩,刘增胜,丁月云,安丰新,胡瑞青.原发性阑尾肿瘤的CT诊断[J].实用医学影像杂志,2005,6(2):78-80. 被引量:13
  • 3洪添吾,李水仙,庄奕煌,陈斯经,陈永青,许淑惠.原发性回盲部恶性淋巴瘤的影像学检查[J].实用医学影像杂志,2005,6(6):316-318. 被引量:1
  • 4明兵,贺国庆,何瑜,沈兰,赵平武.Crohn病的CT表现[J].中华放射学杂志,2006,40(1):88-91. 被引量:15
  • 5武忠弼 杨光华主编.中华外科病理学[M].北京:人民卫生出版社,2002.646.
  • 6Bettina Siewert, Vassilios Raptopoulos, Shiu-Inn Liu, et al. CT Predictors of Failed Laparoscopie Appendectomy[J]. Radiology, 2003,229:415 - 420.
  • 7Courtney AC, Rendon CN, Mayur B, etal. Making the Diagno- sis of Acute Appendicitis: Do More Preoperative Appendectomies A 10-year Study[J]. Radiology,2010,254(2) :460-468.
  • 8Sarah DB, Briart CL, Jorge AS, etal. Perforated versus Nonper- forated Acute Appendieitisz Accuracy of Multideteetor CT Detec- tion[J]. Radiology,2006,241(3) :780-786.
  • 9Suvranu G, Vassilios R, Fabio K, et al. Right Lower Quadrant Pain: Value of the Nonvisualized Appendix in Patients at Mul- tidetector CT[J]. Radiology,2006,241: 175-181.
  • 10Mindy MH, Denise SW, DO Jay CH, et al. Differentiation of Perforated from Nonperforated Appendicitis at CT[J].Radiolo- gy,2003,227:46 - 51.

引证文献8

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部