多层螺旋CT在阑尾粘液性囊肿诊断中的应用价值.docVIP

精品论文 参考文献 多层螺旋CT在阑尾粘液性囊肿诊断中的应用价值 熊建国 杜勇 　　信阳市中心医院影像科 河南省信阳市 464000 　　摘要：目的 探讨多层螺旋CT对阑尾粘液性囊肿的诊断方法及临床价值。方法 回顾性分析2007年5月至2014年6月我院经多层螺旋CT诊断的9例阑尾粘液囊肿患者临床及影像学资料，9例患者均经术后病理检查确诊。结果 CT平扫示病灶为右下腹阑尾区囊性包块，囊壁薄、边缘光滑，呈类圆形或椭圆形，密度均匀，最大径2.5~4.5cm，8例CT值7~19 HU，1例呈软组织密度，周围肠系膜脂肪清晰，密度无明显增高；5例伴阑尾周围炎症者盲肠腔变形，囊壁无明显增厚，可见盲肠及回肠末端轻度弧形受压。增强扫描中5例无明显增强，4例囊壁轻度环形增强，囊壁均匀、光滑，可见点状钙化，囊内容物未见增强，CT值14~17 HU。9例患者均经手术治疗，术后病理检查结果与CT诊断结果相符。结论 多层螺旋CT检查及MPR重建技术可连续及完整地观察阑尾及周围组织情况，对阑尾粘液囊肿有较高的术前确诊率，有利于手术方案制定及并发症的预防。 　　关健词：阑尾粘液囊肿；多层螺旋CT；诊断 　　Abstract：Objective To explore the application methods and clinical value of MSCT in the diagnosis of appendix mucocele.Methods A retrospective analysis from May 2007 to June 2014，9 cases of appendiceal mucocele with clinical and imaging data，diagnosed by MSCT in our hospital，all 9 cases were confirmed by pathological examination after operation.Results On normal CT scan，the lesions showed cystic mass in the lower right quadrant abdominal appendix area，with thin walls，smooth edge，homogeneous density，were round or oval in shape，and with maximum diameter of 2.5~4.5cm，CT value of 8 cases of them was between 7Hu～19Hu，1 case showed mass with soft tissue density，and the mesentery fat around the mass was clearly seen.5 cases with periappendicural inflammation showed deformation of caecum cavity，without thickening of the wall，and the cecum and terminal ileum showed mild visible arc compression.On contrast CT，5 cases showed no enhancement，4 cases showed lightly annular enhancement of wall，with smooth and uniform walls，punctate calcification，the contents in cyst were not enhanced，CT value of them was 14HU~17 HU.All 9 cases were treated by operation，the results of postoperative pathological examination were as the same as the results of CT diagnosis.Conclusion Observation of appendix and the surrounding tissues can be continuous and complete by use of MSCT scan and the MPR reconstruction technique，the rate of preoperative diagnosis of appendix mucocele will be higher，this applicat