CAJ | 학술논문

目的：探讨脑膜瘤影像表现的综合特征，以提高诊断的正确率，为临床手术方案的确定提供可靠的依据。方法回顾性分析经手术病理证实的脑膜瘤（100例）的CT、MRI资料。结果（1）肿瘤信号或密度：T1信号不均15例（15.0%），T2信号不均19例（19.0%），信号均匀66例（66.0%），CT密度不均38例（38.0%）；（2）肿瘤边缘：规整68例（68.0%），毛糙、不规则、分叶、有壁结节32例（32.0%）；（3）硬膜尾征：90例（90.0%）；（4）颅骨受侵：12例；（5）瘤内钙化：19例（19%）；（6）瘤周水肿：34例（34%）；（7）肿瘤多发：6例；（8）颅内转移或术后复发：3例；（9）增强表现：不同程度明显强化；（10）梗阻性脑积水10例。结论脑膜瘤的影像表现具备一定的特征，定性诊断需要综合分析影像表现与临床资料。
목적：탐토뇌막류영상표현적종합특정，이제고진단적정학솔，위림상수술방안적학정제공가고적의거。방법회고성분석경수술병리증실적뇌막류（100례）적CT、MRI자료。결과（1）종류신호혹밀도：T1신호불균15례（15.0%），T2신호불균19례（19.0%），신호균균66례（66.0%），CT밀도불균38례（38.0%）；（2）종류변연：규정68례（68.0%），모조、불규칙、분협、유벽결절32례（32.0%）；（3）경막미정：90례（90.0%）；（4）로골수침：12례；（5）류내개화：19례（19%）；（6）류주수종：34례（34%）；（7）종류다발：6례；（8）로내전이혹술후복발：3례；（9）증강표현：불동정도명현강화；（10）경조성뇌적수10례。결론뇌막류적영상표현구비일정적특정，정성진단수요종합분석영상표현여림상자료。
Objective To explore the imaging performance of the integrated features of meningioma, in order to improve the diagnostic accuracy for clinical surgery to determine the program provide a reliable basis. Methods Retrospective analysis of surgical pathology in recent years by our hospital confirmed the meningioma (100 cases) of CT, MRI data.Results (1) Tumor signal or density:T 1 signal uneven seven cases (15.0%), T 2 signal inequality in 19 cases (19.0%), the signal even 66 cases (66.0%), CT density is uneven in 9 cases (38%);(2) Tumor edge:regular 68 cases (68.0%), coarse, irregular, lobulated, with mural nodules in 32 cases (32.0%);(3) Dural tail sign:90 cases (90.0%);(4) Skull invasion:12 cases;(5) Calcification within the tumor:in 19 cases (19%);(6) Of peritumoral edema:34 patients (34.0%);(7) Multiple tumors:six cases;(8) Brain metastases or recurrence:3 case;(9) To enhance the performance of the different degrees of enhancement;(10) With obstructive hydrocephalus in 10 cases.Conclusion Meningioma with a certain characteristic imaging findings, diagnosis requires a comprehensive analysis of imaging findings and clinical data.