多层螺旋CT在泪腺良性混合瘤中的应用.docVIP

多层螺旋CT在泪腺良性混合瘤中的应用 赤峰松山医院放射科 周成 【摘要】目的 探讨泪腺良性混合瘤多层螺旋CT的诊断价值,资料与方法回顾性分析20例经病理证实的泪腺良性混合瘤的CT特点。结果20例中，均起源于泪腺眶部，肿瘤呈椭圆形14例，圆形5例，不规则形1例；边缘光滑18例，边缘不规则呈分叶状或结节状2例。CT表现为肿块与脑组织密度相似，大多数密度均匀。眶壁骨质受压、凹陷或缺损18例，骨质增生硬化2例。增强后肿瘤呈中度至明显密度相似，大多数强化均匀。结论 泪腺良性混合瘤的CT表现有一定特征性，结合多层螺旋CT后处理软件综合分析，为该病的诊断和鉴别诊断提供更可靠依据，为手术及避免复发提供有意义的指导作用。 [关键词]良性混合瘤；泪腺；体层摄影术，X线计算机 The application of Multi-slice computed tomography(MSCT)in diagnosing benignmixed tumors of the lacrimal gland [Abstract]Ob jective To discuss the value of MSCT in diagnosing benign mixed tumors of the lacrimal gland . Mater ia ls and Methods CT manifestations of 20 cases with benign mixed lacrimal gland tumor confirmed pathologically were analyzed retrospectively. Results The lesions originated in the orbital lobe of the lacrimal gland in 20 cases. The tumors showed oval shape in 14 cases, round shape in 5 cases, irregular shape in 1 cases; and had regular smooth margins in 18 cases, irregu lar lobulated or nodular margins in 2cases. All cases showed isodensity on CT, Most cases presented with uniformity density. Orbitaal bone compression or defect was seen in 18 cases, bone scleros is in 2 cases, Postcontrast CT inaging showed moderate to markedly enhancement, Most cases showed uniformity enhancement. Conclusion CT have some imaging features on Benign mixed tumor of the lacrimal aland ,combined with postprocessing soft to comprehensively analyse, which can provide a reliable basis for the diagnosis and differential diagnosis of the disease , and help surgical operation and avoid recurring. 【Key words】Lacimal gland;Benign mixed tumor; Tomography, X-ray computed 泪腺肿瘤为眼眶部觉肿瘤，泪腺混合瘤在泪腺肿瘤中约占25%，其易复发且复发后易恶变，因此早期诊断、及时治疗极为重要。因其临床表现无特征性，故影像学检查成为主要的诊断手段。笔者搜集2010年2月至2012年3月间我院经病理证实、资料完整的泪腺良性混合瘤20例，进行回顾性分析，分析其CT特点，以提高对本病的认识。 资料与方法 20例中，男6例，女14例，年龄16-69岁，平均36.9岁。临床再现：眼球突出16例，视力下降6例，复视5例，病程4个月-4年。左侧13例，右侧7例。 20例均行CT平扫及增强扫描，使用Philips,Brilliance16CT扫描仪。扫描条件：120KV，电流250MAS，矩512×512，螺距0.82，准直16×0.75，层厚3mm，层间距3mm，软组织算法重组，窗宽300HU，窗位30HU；骨算法重组，窗宽3500HU，窗位7