CAJ | 학술논문

目的：探讨儿童巨大腹部囊性病变的 CT 表现及鉴别诊断。方法搜集2012年～2013年间经手术病理证实的腹部巨大囊性病变患儿28例，分析其病变部位、大小、形态、密度、分隔及囊壁厚度、是否强化以及与周围脏器关系等要素。结果28例中，淋巴管瘤10例，囊性畸胎瘤4例，卵巢囊肿4例，重度肾积水3例，肝囊肿3例，先天性胆总管囊肿1例，肝间叶组织错构瘤（hepatic mesenchymal hamartoma ，HM H）1例，胰腺假性囊肿1例，子宫阴道积液1例。各种囊性病变有其一定的发病部位和特征性 CT 表现。结论 CT 是儿童腹部囊性病变定位定性诊断的重要影像学方法。
목적：탐토인동거대복부낭성병변적 CT 표현급감별진단。방법수집2012년～2013년간경수술병리증실적복부거대낭성병변환인28례，분석기병변부위、대소、형태、밀도、분격급낭벽후도、시부강화이급여주위장기관계등요소。결과28례중，림파관류10례，낭성기태류4례，란소낭종4례，중도신적수3례，간낭종3례，선천성담총관낭종1례，간간협조직착구류（hepatic mesenchymal hamartoma ，HM H）1례，이선가성낭종1례，자궁음도적액1례。각충낭성병변유기일정적발병부위화특정성 CT 표현。결론 CT 시인동복부낭성병변정위정성진단적중요영상학방법。
Objective To explore the CT findings and differential diagnosis of giant cystic lesions in abdomen of children . Methods 28 children with the giant cystic lesions in abdomen confirmed by surgery and histopathology from 2012 ~ 2013 were collected .The location of the lasion ,range ,configuration ,density ,thickness of cystic wall and septa ,contrast en‐hancement ,and adjacent organs were observed and analyzed .Results In 28 children ,there were lymphangioma in 10 , cystic teratomas in 4 ,ovarian cyst in 4 ,giant hydronephrosis in 3 ,hepatic cyst in 3 ,congenital gallbladder general direc‐tor cyst in 1 ,hepatic mesenchymal hamartoma in 1 ,pancreatic pseudocyst in 1 ,and Hydrometrocolpos in 1 .Conclusion CT is very effective on the location and qualitative diagnosis of the giant cystic lesions in abdomen of children .