中国CT和MRI杂志
中國CT和MRI雜誌
중국CT화MRI잡지
CHINESE JOURNAL OF CT AND MRI
2014年
8期
88-90
,共3页
儿童%腹膜后神经母细胞瘤%CT征象
兒童%腹膜後神經母細胞瘤%CT徵象
인동%복막후신경모세포류%CT정상
Children%Retroperitoneal Neuroblastoma%CT Sign
目的：探究儿童腹膜后神经母细胞瘤的CT特征，为临床诊断提供参考。方法选择我院在2012年6月到2014年6月儿科住院部收治的58例腹膜后神经母细胞瘤患儿为本次研究的对象，对其经病理、活检或是手术确诊的临床资料进行回顾性探索研究，对腹膜后神经母细胞瘤的临床CT特征进行分析总结。结果肿瘤位于左侧25例、右侧33例；椎旁交感神经链8例、肾上腺30例、肿瘤跨中线生长20例。边缘模糊38例、清晰20例。椭圆形或类圆形15例、不规则形状43例。平扫肿瘤密度不均，发生钙化26例。增强扫描：肿瘤主要表现为不均的轻度或是中度强化。结论儿童腹膜后神经母细胞瘤经CT扫描诊断后好发于椎旁交感神经链及肾上腺，对其临床CT征象表现特点进行充分地掌握，有利于临床对此病的鉴别诊断。
目的：探究兒童腹膜後神經母細胞瘤的CT特徵，為臨床診斷提供參攷。方法選擇我院在2012年6月到2014年6月兒科住院部收治的58例腹膜後神經母細胞瘤患兒為本次研究的對象，對其經病理、活檢或是手術確診的臨床資料進行迴顧性探索研究，對腹膜後神經母細胞瘤的臨床CT特徵進行分析總結。結果腫瘤位于左側25例、右側33例；椎徬交感神經鏈8例、腎上腺30例、腫瘤跨中線生長20例。邊緣模糊38例、清晰20例。橢圓形或類圓形15例、不規則形狀43例。平掃腫瘤密度不均，髮生鈣化26例。增彊掃描：腫瘤主要錶現為不均的輕度或是中度彊化。結論兒童腹膜後神經母細胞瘤經CT掃描診斷後好髮于椎徬交感神經鏈及腎上腺，對其臨床CT徵象錶現特點進行充分地掌握，有利于臨床對此病的鑒彆診斷。
목적：탐구인동복막후신경모세포류적CT특정，위림상진단제공삼고。방법선택아원재2012년6월도2014년6월인과주원부수치적58례복막후신경모세포류환인위본차연구적대상，대기경병리、활검혹시수술학진적림상자료진행회고성탐색연구，대복막후신경모세포류적림상CT특정진행분석총결。결과종류위우좌측25례、우측33례；추방교감신경련8례、신상선30례、종류과중선생장20례。변연모호38례、청석20례。타원형혹류원형15례、불규칙형상43례。평소종류밀도불균，발생개화26례。증강소묘：종류주요표현위불균적경도혹시중도강화。결론인동복막후신경모세포류경CT소묘진단후호발우추방교감신경련급신상선，대기림상CT정상표현특점진행충분지장악，유리우림상대차병적감별진단。
Objective To explore CT characteristics of retroperitoneal neuroblastoma in children, and to provide reference for clinical diagnosis. Methods In 58 patients with retroperitoneal neuroblastoma patients admitted by the inpatient department of pediatrics of this hospital from June, 2012 to June, 2014 were selected as the subjects of this research, retrospectively research was explored on affirmative clinical data for pathology, biopsy or surgery, and clinical CT characteristics of retroperitoneal neuroblastoma were analyzed and summarized. Results There were 25 cases of tumors located in the left side, 33 cases of tumors on the right side, 8 cases of tumors on sympathetic chain of ertebral side, 30 cases of rumors on the adrenal gland, 20 case tumors growing across the midline, 38 cases of rumors with blur edges, 20 cases of rumors with clear edges. 15 case of oval or round rumor, and 43 cases irregular shape. The tumor density was found to be uneven, and 26 cases of rumors were found to have calcification. Enhancement scanning: The tumors mainly represented unevenly mild or moderate enhancement. Conclusion Retroperitoneal neuroblastoma in children mostly occurs in vertebral side sympathetic nerve chain and adrenal gland upon proper CT scanning and diagnosis, full grasp over characteristics of clinical CT signs makes for to differential diagnosis of this disease in clinical practices.
