腹部淋巴结结核的CT诊断.pdfVIP

654 2009 6 24 6 Radiol Practice,Jun 2009, Vol 24, No. 6 # # CT 孙伟英,袁建华, 丁忠祥, 吴影,蔡学祥 = :研究腹部淋巴结结核的 CT 表现,提高该疾病的诊断 鉴别诊断水平:搜集 14 例经病理证实的 腹部淋巴结结核,观察受累淋巴结的解剖分布形态 强化方式特征:肠系膜淋巴结受累8 例, 胰周小网膜 10 例, 脾门1例,腰3 平面以上腹膜后间隙6 例, 脾肿大10 例多房环形强化10 例, 均匀强化3 例,环形强化1例:腹部 淋巴结结核CT 表现具有一定的特征性,有助于该疾病的诊断 鉴别诊断 = 结核, 淋巴结; 腹部; 体层摄影术, X 线计算机 = R814. 42; R551.24 = A = 1000-0313(2009) 06-0654-03 CTDiagnosis of Tuberculosisof Abdominal LymphNodes SUN We-i ying, UAN Jian-hua, DING zhong-xiang,et al. Depart- ment of Radiology,Zhejiang Provincial Peoplecs Hospital, Hangzhou 310014,P.R. China = Abstract Objective:To study the CT findings of tuberculosis of abdominal lymph nodes so as to improve its diagno- sis and differential diagnosis. Methods:CT images of tuberculosis of abdominal lymph nodes proved histologically in 14 pa- tients were retrospectively analyzed,including anatomical distribution, morphologic features and mode of contrast enhance- ment.Results:Mesenteric lymph nodes were involved in 8 of 14 patients,the peripancreatic lesser omentum nodes in 10 ca- ses,the nodes in hilum of spleen in one case,the nodes in retroperitoneal space above third lumbar vertebra in 6 cases. Ten cases showed enlarged spleen.Mult-i locular and circular enhancement was shown in 10 cases ( 71.4%) , homogeneous en- hancement in 3 cases (21.4%) ,and singular circular enhancement in 1 case ( 7. 1%) , respectively. Conclusions:CT appear- ance of tuberculosis of abdominal lymph nodes is characteristic and has great use for diagnosis and differential diagnosis. = ey words Tuberculosis, lymph node; Abdomen; T omography, X-ray computed , 2.5~ 3. 0ml/ s, 10mm,10mm( [ 1] 2000 1 5 mm) , ~ 2008 8 () ,