CAJ | 학술논문

目的：探讨小儿腹部肠源性囊肿的定义、分型及影像特点。方法收集18例经手术病理证实为腹部肠源性囊肿并有完整影像学检查资料(B 超、CT 及增强检查)的患儿，分析其影像学表现、病理特点，进行分型诊断。结果根据病变的部位及影像学特点，将肠源性囊肿进行临床影像学分型：胃肠壁型、肠系膜型、腹膜后型。11例为胃肠壁型(肠壁外2例，肠壁内8例，胃壁外1例)；4例为肠系膜型；3例为腹膜后型。结论根据肠源性囊肿特殊的影像学表现可以进行分型诊断，为外科手术提供参考。
목적：탐토소인복부장원성낭종적정의、분형급영상특점。방법수집18례경수술병리증실위복부장원성낭종병유완정영상학검사자료(B 초、CT 급증강검사)적환인，분석기영상학표현、병리특점，진행분형진단。결과근거병변적부위급영상학특점，장장원성낭종진행림상영상학분형：위장벽형、장계막형、복막후형。11례위위장벽형(장벽외2례，장벽내8례，위벽외1례)；4례위장계막형；3례위복막후형。결론근거장원성낭종특수적영상학표현가이진행분형진단，위외과수술제공삼고。
Objective To explore the definition,classification and imaging characteristics of abdominal enterogenous cysts in in-fant.Methods 18 patients with abdominal enterogenous cyst in infant,confirmed by surgical pathology,with complete imaging data (including ultrasonography,CT and enhanced CT),have been enrolled in the study.The imaging findings and pathological character-istics have been analyzed,and the classification of diagnosis has been conducted.Results According to the positions and imaging fea-tures of the pathological changes,abdominal enterogenous cysts could be further classified as:gastrointestinal wall type,mesenteric type and retroperitoneal type.In this study,gastrointestinal wall type in 1 1 patients (outside intestinal wall in 2,inside intestinal wall in 8,and outside gastric wall in 1);mesenteric type in 4 and retroperitoneal type in 3 were identified.Conclusion Classification of diagnosis can be conducted according to the enterogenous cyst’s special imaging findings,which provides a reference for the surgical operation.