局限性巨淋巴结增生症多层螺旋CT特征分析.docVIP

局限性巨淋巴结增生症多层螺旋CT特征分析 　　[摘要] 目的 分析局限性巨淋巴结增生症的多层螺旋CT特征。 方法 方便选取该院2016年1月―2017年1月接诊的局限性巨淋巴结增生症患者10例，所有患者均进行CT增强扫描，检查结果经手术病理检查证实。结果 10例患者中，病灶位于颈胸部5例，腹部5例。10例患者CT平扫均可见等密度病灶，病灶边缘清晰光整，形状不规则；平扫CT值33～40 Hu后可病灶均匀强化，增强73～90 Hu，病灶周围可见血管密度影。病灶位于腹部的5例患者中，有2例患者可见点状和片状钙化。 结论 多层螺旋CT在局限性巨淋巴细胞增生症的检查中表现明确，可为临床诊断提供科学的依据。 　　[关键词] 局限性巨淋巴细胞；多层螺旋CT；特征 　　[中?D分类号] R816 [文献标识码] A [文章编号] 1674-0742（2017）08（c）-0193-03 　　Analysis of Multi-slice Spiral CT Features of Limited Giant Lymph Node Hyperplasia 　　NIE Wen-jun， SHI Fang， GUAN Shu-chun 　　Department of Radiology， Changzhou Seventh People’s Hospital， Changzhou，Jiangsu Province， 213011 China 　　[Abstract] Objective To analyze the multi-slice spiral CT features of limited giant lymph node hyperplasia. Methods 10 cases of patients with limited giant lymph node hyperplasia diagnosed in our hospital from January 2016 to January 2017 were convenient selected and all patients adopted the CT enhanced scanning， and the examination Results were proved by the operation pathology. Results Of 10 cases of patients， there were 5 cases whose lesions were in neck and breast sites and 5 cases whose lesions were in abdominal site， and the equidensite lesions were seen in 10 cases of patients by the CT plain scanning， and the lesions margin was clear and smooth and the shape was irregular， and the lesions could be homogeneously enhanced when the plain scan CT value was 33～40 Hu， the vessel density shadow was seen around lesions when the enhancement was 73～90 Hu， and of the 5 cases whose lesions were in abdominal site， there were 2 cases with spot calcification and patchy calcification. Conclusion The manifestations of multi-slice spiral CT features of limited giant lymph node hyperplasia are clear， which can provide scientific basis for the clinical diagnosis. 　　[Key words] Limited giant lymph node hyperplasia； Multi-slice spiral CT； Features 　　巨淋巴细胞增生症（CD）还可以称为血管滤泡性淋巴组织增生，是一种罕见的淋巴组织良性改变，发病部位多为颈胸部[1]。1956年国外学者Castleman首次报道了该病的临床类型，巨淋巴结增生症是要有单中心性和多中心型两种，单中