CAJ | 학술논문

目的：根据肾上腺肿瘤的CT表现与病理对照分析，评价MSCT薄层增强扫描对肾上腺肿瘤的诊断和鉴别诊断价值，提高对肾上腺肿瘤的诊断水平。方法：回顾性分析27例经手术病理证实的各类肾上腺肿瘤的CT表现及病理组织学类型。结果：皮质腺瘤10例，皮质腺癌1例，嗜铬细胞瘤7例，囊肿2例，髓样脂肪瘤4例，转移癌3例。结论：肾上腺肿瘤CT表现有一定的特征性，MSCT薄层扫描能提高其定位诊断准确率，肿瘤增强特点与病理结构相关，认真分析，结合临床及生化检查，可对其作出定性诊断。
목적：근거신상선종류적CT표현여병리대조분석，평개MSCT박층증강소묘대신상선종류적진단화감별진단개치，제고대신상선종류적진단수평。방법：회고성분석27례경수술병리증실적각류신상선종류적CT표현급병리조직학류형。결과：피질선류10례，피질선암1례，기락세포류7례，낭종2례，수양지방류4례，전이암3례。결론：신상선종류CT표현유일정적특정성，MSCT박층소묘능제고기정위진단준학솔，종류증강특점여병리결구상관，인진분석，결합림상급생화검사，가대기작출정성진단。
Objective:According to the CT features of adrenal tumors, assess the value of MSCT using thin slice incremental scanning in diagnosis and differential diagnosis of the disease and to improve the level of diagnosis of a-drenal tumors.Methods:The CT findings of 27 cases were analyzed retrospectively,the results were then confirmed by surgery and pathology and pathologic.Results:10 of 27 patients have adenoma,adenocarcinoma l,adrenal myelolipoma 4,metastatic tumors 3 and adrenal pheochromocytoma 7,and 2 adrenal cysts.Conclusions:Adrenal tumors have cer-tain characteristic CT signs, MSCT using thin slice incremental scanning can improve the accuracy of localization di-agnosis, tumor enhancement features is associated with Pathologic structure,careful annlysis, CT findings combined with clinical and laboratory data can provide correct diagnosis.