中枢神经系统白血病CT诊断.pdfVIP

放射学实践 2008 年 6 月第 23 卷第 6 期 Radiol Practice.Jun 2008. Vol 23.No. 6 601 ·中枢神经影像学· 中枢神经系统白血病 CT 诊断 纪祥，罗军，夏养莹，徐翠芳，张柏林 E摘要】 目的:探讨中枢神经系统白血病的 CT 表现，提高诊断水平。方法:总结经临床脑脊液细胞学检查找到白血 病细胞共计 17 例 CT 表现，其中急性淋巴细胞白血病 10 例，急性非淋巴细胞白血病 7 例。 CT 平扫 17 例，增强扫描 13 例。结果:CT 表现为脑池、沟消失，脑皮层区低密度，增强扫描呈斑片状及脑回样强化 3 例。脑实质内呈结节状及肿块状 高密度彰，周围伴水肿 14 例，增强扫描呈明显均匀强化。结论:结合临床，CT 对中枢神经系统白血病诊断有帮助。 E关键词】 中枢神经系统疾病;白血病，体层摄影术，X 线计算机 E 中图分类号】 R814.42 ， R733.71 [文献标识码】 A [文章编号】 1000-0313(2008)06-0601-02 CT Diagnosis of the Central Nervous System Leukemia ]1 Xiang ,L UO ] un ,XIA Yang-xua口， et a l. Department of Radiology , Shenzhen Hospital for Occupational Diseases.Guangdong 518001 ,P. R. China [Abstract Objective:To study the CT findings of the central nervous system leukemia (CNSL). Methods:The CT fíndings of CNSL proved by CSF examination in which leukemia cells were found in 17 cases were analyzed. There were 10 cases of acute lymphocytic leukemia and 7 cases of nonlymphocytic leukemia in this group. CT plain scans were performed in 17 cases and contrast enhanced scan in 13 cases respectively、 Results: Disappearance of the sulci and cisterns with hypodense areas in parietal lobe On plain CT scan WRS found in 3 cases、 On enhanced scan ,there were patchy and gyral enhancement in 3 cases. Multiple hyperdense nodes and masses with edema around were found in 14 cases on plain CT scan and the lesion enhanced strongly on enhanced CT scan. Conclusion: In combination with clinical data ,CT was useful for examining CNSL. [Key 啊)rds] Central nervous systcm disease; Leukemias; Tomography , X-ray computed 中枢神经系统白血病(central 肘rvous system 结果 leukemia ,CNSL)是急性白血病常见的并发