摘要
目的探讨螺旋CT对老年患者颈部非甲状腺源性肿物的鉴别诊断价值。方法回顾性分析132例CT检查为非甲状腺来源的老年颈部肿物患者的影像学资料,所有病例均经病理证实,观察患者的肿物发生部位、数量、病理学类型、CT影像特点,增强扫描特点等。结果 132例老年患者中,单发性的颈部肿物97例,包括颈前间隙的表皮样囊肿13例、淋巴管囊肿12例、慢性淋巴结炎9例、淋巴结癌转移21例,脏器间隙的会厌囊肿11例、椎前及椎旁间隙的神经纤维瘤8例、神经鞘膜瘤9例,咽旁间隙唾液腺内的唾液腺混合瘤7例,颈动脉间隙的神经鞘瘤7例;多发性肿物患者35例,主要发生在颈前间隙、颈后间隙或脏器间隙内,包括多发腮腺混合瘤3例、慢性淋巴结炎4例、淋巴结结核8例、恶性淋巴瘤4例、淋巴结转移癌16例。结论螺旋CT对老年患者颈部非甲状腺肿物的鉴别诊断有重要意义。
Objective To evaluate the diagnostic value of spiral CT in elderly patients with non thyroid-derived cervical tumor.Methods A retrospective analysis was made on 132 CT examination for non-imaging data in elderly patients with thyroid neck mass sources,all cases were confirmed by pathology check with tumor occurrence site,number,type of pathology,CT imaging features,such as enhanced scan features.Results 132 cases of elderly patients showed a single onset of neck mass in 97 cases,including epidermal cyst anterior gap in 13 cases,lymphatic cyst 12 cases,9cases of chronic inflammation of the lymph nodes,lymph node metastasis in 21 cases,organ gap epiglottic cyst11 cases,prevertebral and paraspinal neurofibroma gap in 8cases,9cases of nerve sheath tumors,7cases of salivary gland parapharyngeal space within the mixed tumors of salivary glands,7cases of carotid nerve sheath gap tumor;35patients with multiple tumor,occurring mainly in the gap in the anterior,posterior gap or gaps within organs,including multiple mixed parotid tumor,3cases of chronic lymphadenitis 4cases,lymph node tuberculosis in 8cases,4cases of malignant lymphoma,lymph node metastases in 16 patients.Conclusion Spiral CT has important significance for differential diagnosis of non thyroid-derived cervical tumor in elderly patients.
出处
《临床荟萃》
CAS
2014年第8期885-887,共3页
Clinical Focus
基金
国家自然科学基金资助项目(30960103)
