CAJ | 학술논문

目的：探讨胃神经鞘瘤的 CT 表现特点，提高 CT 诊断胃神经鞘瘤的准确率。方法回顾性分析嘉兴市第一医院及嘉兴市中医院经手术病理证实的6例胃神经鞘瘤的患者。6例患者均行 CT 平扫及增强检查，分析病灶类大小、密度、部位，总结其影像学表现。结果6例胃神经鞘瘤中，1例位于胃贲门部，2例位于胃窦部，3例位于胃体部，CT 均表现为胃壁软组织影增厚，突出腔内外，平扫为等低密度，动态增强扫描后动脉期未见明显强化，静脉期可见轻度强化，延迟期可见明显明显均匀强化。结论胃神经鞘瘤在 CT 上具有一定的特征性表现，可以实现对胃神经鞘瘤的定位及定性诊断。
목적：탐토위신경초류적 CT 표현특점，제고 CT 진단위신경초류적준학솔。방법회고성분석가흥시제일의원급가흥시중의원경수술병리증실적6례위신경초류적환자。6례환자균행 CT 평소급증강검사，분석병조류대소、밀도、부위，총결기영상학표현。결과6례위신경초류중，1례위우위분문부，2례위우위두부，3례위우위체부，CT 균표현위위벽연조직영증후，돌출강내외，평소위등저밀도，동태증강소묘후동맥기미견명현강화，정맥기가견경도강화，연지기가견명현명현균균강화。결론위신경초류재 CT 상구유일정적특정성표현，가이실현대위신경초류적정위급정성진단。
Objective To study the imaging characteristics of gastric schwannoma so as to improve the accuracy of CT in the diagnosis of gastric schwannoma .Methods We retrospectively analyzed 6 patients with gastric schwannoma from first hospital of Jiaxing ,who were all confirmed by surgery pathology .6 patients were performed the plain and enhancement CT scan .The lesion size ,density ,and location were analyzed and the imaging findings were summarized in this work .Re‐sults Of those 6 cases of gastric schwannoma ,1 case was located in gastric cardia ,2 cases in the distal ,and 3 cases in gastric body .CT manifestations were that the soft tissue shadow of gastric wall was thickening and protruding inside and outside cavity .The plain CT scan showed low density .The dynamic enhancement scan did not show obvious enhancement at the arterial phase ,but ,showed light reinforcement at the venous phase ,and obviously uniform reinforcement at the de‐lay phase .Conclusion Gastric schwannoma on CT has a certain characteristic ,which is helpful for the localization and qualitative diagnosis of this disorder .