CAJ | 학술논문

目的探讨胃肠道平滑肌肿瘤的CT表现及诊断价值.方法使用GE HISPEED CT/I对8例胃肠道平滑肌肿瘤患者进行扫描,发现和确定病灶后进行增强扫描,观察分析其CT表现.结果 8例胃肠道平滑肌肿瘤均经手术病理检查证实.4例胃部平滑肌肿瘤,4例肠道平滑肌肿瘤(十二指肠平滑肌瘤1例,结肠平滑肌瘤1例,空肠平滑肌瘤1例和空肠平滑肌肉瘤1例).平滑肌肿瘤CT表现:良性肿瘤大多呈圆形,肿瘤表现光滑、边界清楚、实质均匀、CT值40 Hu;增强扫描,肿瘤强化显著,肿瘤与周围分界清晰、周围无明显浸润,CT值一般为53 Hu.胃肠道平滑肌肉瘤体积较大,CT表现为软组织密度块影,其内见有低密度液化坏死区,如向外浸润和临近脏器粘连并肝脏转移,可形成肿块,无一例形状边界不规则.结论胃肠道平滑肌肿瘤的CT表现有其特异性,CT检查有重要的诊断价值.
목적 탐토위장도평활기종류적CT표현급진단개치.방법 사용GE HISPEED CT/I대8례위장도평활기종류환자진행소묘,발현화학정병조후진행증강소묘,관찰분석기CT표현.결과 8례위장도평활기종류균경수술병리검사증실.4례위부평활기종류,4례장도평활기종류(십이지장평활기류1례,결장평활기류1례,공장평활기류1례화공장평활기육류1례).평활기종류CT표현:량성종류대다정원형,종류표현광활、변계청초、실질균균、CT치40 Hu;증강소묘,종류강화현저,종류여주위분계청석、주위무명현침윤,CT치일반위53 Hu.위장도평활기육류체적교대,CT표현위연조직밀도괴영,기내견유저밀도액화배사구,여향외침윤화림근장기점련병간장전이,가형성종괴,무일례형상변계불규칙.결론 위장도평활기종류적CT표현유기특이성,CT검사유중요적진단개치.
Objective To explore the CT manifestation and the diagnostic value of leiomyomatous tmnor of gastrointestinal tract in 8 patients.Methods 8 patients with gastrointestinnal tract leiomyoma tumor were scaned with GE HISPEED CT/I.proceeding to scan with contrast agent when detected and ascertained the nidus.Results There were 4 eases gastric smooth muscle tumors in 8 patients,and 1 case was leiomyosarcoma of stomach,1 case was duodenal muscle tumors,1 case as jejuna muscle tumors and another is leiomyosarcoma of jejunum.Conclusion The location,contour and characteristic of imaging is important standard of leiomyomatous tumor of gastrointestinal tract.