影像诊断与介入放射学
影像診斷與介入放射學
영상진단여개입방사학
JOURNAL OF DIAGNOSTIC IMAGING AND INTERVENTIONAL RADIOLOGY
2013年
3期
29-32
,共4页
胆囊腺肌增生症%罗-阿氏窦%计算机断层%多平面重组
膽囊腺肌增生癥%囉-阿氏竇%計算機斷層%多平麵重組
담낭선기증생증%라-아씨두%계산궤단층%다평면중조
Gallbladder adenomyomatosis%Rokitansky-Aschoff sinuses%X-ray tomography computed%Multi-planar reconstruction
目的根据胆囊腺肌增生症的CT表现，探讨多层螺旋CT对本病的诊断及鉴别诊断价值。方法回顾性分析17例经手术病理证实的胆囊腺肌增生症病例，16例行CT平扫及增强扫描，采用64排CT扫描，用薄层重组及多平面重组，观察病变的细节显示。结果17例患者中，弥漫型6例，基底局限型6例，节段型5例。术前诊断正确12例，CT表现为胆囊壁广泛性或局限性增厚，增厚囊壁内可见多发罗—阿氏窦，典型表现为“花环征”。CT增强扫描病变区明显均匀强化或者不均匀强化，罗—阿氏窦边缘环状强化。结论64排CT对胆囊腺肌增生症的诊断及鉴别诊断有较高的价值，薄层重组及多平面重组有利于对罗—阿氏窦的显示，而罗—阿氏窦的显示则具有定性诊断的价值。
目的根據膽囊腺肌增生癥的CT錶現，探討多層螺鏇CT對本病的診斷及鑒彆診斷價值。方法迴顧性分析17例經手術病理證實的膽囊腺肌增生癥病例，16例行CT平掃及增彊掃描，採用64排CT掃描，用薄層重組及多平麵重組，觀察病變的細節顯示。結果17例患者中，瀰漫型6例，基底跼限型6例，節段型5例。術前診斷正確12例，CT錶現為膽囊壁廣汎性或跼限性增厚，增厚囊壁內可見多髮囉—阿氏竇，典型錶現為“花環徵”。CT增彊掃描病變區明顯均勻彊化或者不均勻彊化，囉—阿氏竇邊緣環狀彊化。結論64排CT對膽囊腺肌增生癥的診斷及鑒彆診斷有較高的價值，薄層重組及多平麵重組有利于對囉—阿氏竇的顯示，而囉—阿氏竇的顯示則具有定性診斷的價值。
목적근거담낭선기증생증적CT표현，탐토다층라선CT대본병적진단급감별진단개치。방법회고성분석17례경수술병리증실적담낭선기증생증병례，16례행CT평소급증강소묘，채용64배CT소묘，용박층중조급다평면중조，관찰병변적세절현시。결과17례환자중，미만형6례，기저국한형6례，절단형5례。술전진단정학12례，CT표현위담낭벽엄범성혹국한성증후，증후낭벽내가견다발라—아씨두，전형표현위“화배정”。CT증강소묘병변구명현균균강화혹자불균균강화，라—아씨두변연배상강화。결론64배CT대담낭선기증생증적진단급감별진단유교고적개치，박층중조급다평면중조유리우대라—아씨두적현시，이라—아씨두적현시칙구유정성진단적개치。
@@@@Objective To investigate the diagnostic value of multi-slice CT for gallbladder adenomyomatosis.Methods Seventeen patients who underwent 64-slice CT had histologically confirmed gallbladder adenomyomatosis.The thin axial and multiplanar reconstructed images were retrospectively analyzed.Results Of 17 patients,6 were diffuse,6 were fundal,5 were focal. Twelve patients were diagnosed correctly before surgery.CT showed diffuse or focal gallbladder wall thickening with homogeneous, heterogeneous,or ring enhancement. There were multiple Rokitansky-Aschoff sinuses in the gallbladder wall with garland sign. Conclusions The thin axial and multiplanar reconstructed CT can display the Rokitansky-Aschoff sinuses and is valuable for diagnosing gallbladder adenomyomatosis.
