中国医药导报
中國醫藥導報
중국의약도보
CHINA MEDICAL HERALD
2014年
29期
80-83
,共4页
包丽平%戴亚婕%陆建%季更生%骆梦佳%王蓼
包麗平%戴亞婕%陸建%季更生%駱夢佳%王蓼
포려평%대아첩%륙건%계경생%락몽가%왕료
肾上腺节细胞神经瘤%多层螺旋CT%诊断%临床分析
腎上腺節細胞神經瘤%多層螺鏇CT%診斷%臨床分析
신상선절세포신경류%다층라선CT%진단%림상분석
Adrenal ganglioneuroma%Multi-slice spiral CT%Diagnosis%Clinical analysis
目的：分析肾上腺节细胞神经瘤的多层螺旋CT诊断与临床特征。方法对浙江省宁波奉化市中医医院放射科2009年1月~2013年5月收治的60例肾上腺无功能性肿瘤患者进行回顾性分析。其中肾上腺节细胞神经瘤患者18例，肾上腺无功能腺瘤患者24例，转移瘤8例，无功能嗜络细胞瘤患者10例，共64个病灶。采用Lightspeed VCT 64层螺旋CT扫描仪对其病灶行平扫及随后30、70 s，3 min动态增强扫描，并将其影像学表现进行比较分析。结果①肾上腺节细胞瘤形态上大多表现为卵圆形，边界较模糊，密度均匀，有明显的桃尖征，病变部位多以右侧为主，可有钙化的情况出现；②肾上腺节细胞神经瘤在同一扫描或时间点的CT平均值与其他各病变类型比较差异均有统计学意义(P<0.05)，其中平扫时表现出密度高于无功能腺瘤，而低于嗜络细胞瘤和转移瘤，而在增强扫描各时间点其密度则表现出明显低于其他各病变类型，差异均有统计学意义(P<0.05)。结论临床上肾上腺节细胞神经瘤与其他各类型肾上腺无功能肿瘤相比，其多层螺旋CT表现在其病变形态、边界清晰度、肿瘤内钙化、发病部位与平扫CT平均值及增强扫描各时间点CT平均值均有明显的差异性，临床可根据其特点进行鉴别诊断，并为其手术治疗提供影像学依据。
目的：分析腎上腺節細胞神經瘤的多層螺鏇CT診斷與臨床特徵。方法對浙江省寧波奉化市中醫醫院放射科2009年1月~2013年5月收治的60例腎上腺無功能性腫瘤患者進行迴顧性分析。其中腎上腺節細胞神經瘤患者18例，腎上腺無功能腺瘤患者24例，轉移瘤8例，無功能嗜絡細胞瘤患者10例，共64箇病竈。採用Lightspeed VCT 64層螺鏇CT掃描儀對其病竈行平掃及隨後30、70 s，3 min動態增彊掃描，併將其影像學錶現進行比較分析。結果①腎上腺節細胞瘤形態上大多錶現為卵圓形，邊界較模糊，密度均勻，有明顯的桃尖徵，病變部位多以右側為主，可有鈣化的情況齣現；②腎上腺節細胞神經瘤在同一掃描或時間點的CT平均值與其他各病變類型比較差異均有統計學意義(P<0.05)，其中平掃時錶現齣密度高于無功能腺瘤，而低于嗜絡細胞瘤和轉移瘤，而在增彊掃描各時間點其密度則錶現齣明顯低于其他各病變類型，差異均有統計學意義(P<0.05)。結論臨床上腎上腺節細胞神經瘤與其他各類型腎上腺無功能腫瘤相比，其多層螺鏇CT錶現在其病變形態、邊界清晰度、腫瘤內鈣化、髮病部位與平掃CT平均值及增彊掃描各時間點CT平均值均有明顯的差異性，臨床可根據其特點進行鑒彆診斷，併為其手術治療提供影像學依據。
목적：분석신상선절세포신경류적다층라선CT진단여림상특정。방법대절강성저파봉화시중의의원방사과2009년1월~2013년5월수치적60례신상선무공능성종류환자진행회고성분석。기중신상선절세포신경류환자18례，신상선무공능선류환자24례，전이류8례，무공능기락세포류환자10례，공64개병조。채용Lightspeed VCT 64층라선CT소묘의대기병조행평소급수후30、70 s，3 min동태증강소묘，병장기영상학표현진행비교분석。결과①신상선절세포류형태상대다표현위란원형，변계교모호，밀도균균，유명현적도첨정，병변부위다이우측위주，가유개화적정황출현；②신상선절세포신경류재동일소묘혹시간점적CT평균치여기타각병변류형비교차이균유통계학의의(P<0.05)，기중평소시표현출밀도고우무공능선류，이저우기락세포류화전이류，이재증강소묘각시간점기밀도칙표현출명현저우기타각병변류형，차이균유통계학의의(P<0.05)。결론림상상신상선절세포신경류여기타각류형신상선무공능종류상비，기다층라선CT표현재기병변형태、변계청석도、종류내개화、발병부위여평소CT평균치급증강소묘각시간점CT평균치균유명현적차이성，림상가근거기특점진행감별진단，병위기수술치료제공영상학의거。
Objective To analyze the diagnosis and clinical features of multi-slice spiral CT in adrenal ganglioneuro-ma. Methods Sixty cases of patients with nonfunctional adrenal tumor admitted to Department of Radiology, Fenghua Hospital of Traditional Chinese Medicine in Ningbo City from January 2009 to May 2013 were analyzed retrospectively. There were 18 cases with adrenal ganglioneuroma, 24 cases with adrenal non-functional adenomas, 8 cases with metastatic tumors, and 10 cases with nonfunctional complextumor, a total of 64 focuses. 64 layers spiral CT scanner of Lightspeed VCT to line scan and dynamic enhanced scan of 30 s, 70 s, 3 min were used on the focus, and the imaging findings were compared. Results ①The morphology of adrenal ganglioneuromamostly characterized by ovoid, fuzzy boundaries, uniform density, obviously peach tip levy, more predominantly on the right side of the lesion site, and had calcification; ②at the same average CT scan or same point scan, the adrenal ganglioneuroma compared with the other types of pathological changes were significantly different (P< 0.05), the plain scan showed that the density of adrenal ganglioneuroma was higher than non-functional adenoma, and lower than nonfunctional complextumor and metastatic tumors, but at various points of enhanced scan its density showed a significantly lower than other pathological types, the differences were statistically significant (P< 0.05). Conclusion Clinical adrenal ganglioneuroma compared with other various kinds of nonfunctioning adrenal tumors, the performance of multi-slice spiral CT in its pathological changes shape, boundary definition, calcification within the tumor, pathogenic site and the average value of plain scan and en-hanced scan at various points all have obvious differences, and according the characteristics can take clinical differen-tial diagnosis, and provide imaging basis for its surgical treatment.
