脾脏占位性病变的CT诊断

CT diagnosis of splenic occupied lesions

目的 探讨CT检查对脾脏占位性病变的诊断及临床价值。方法 回顾性分析26例经手术切除或穿刺病理证实的脾脏病变的临床及CT资料(12例平扫后行增强扫描),总结脾脏病变的CT表现特点。 结果 26例中,非肿瘤性病变5例(脓肿、结核各2例,梗塞1例),良性肿瘤4例(血管瘤和囊肿各2例),恶性肿瘤17例(血管内皮肉瘤3例,非何杰金淋巴瘤8例,转移瘤6例)。 结论 CT平扫可为现脾脏病灶,并且对病灶与邻近结构的关系有个全面的认识,CT增强扫描能提供更多信息,故CT对脾脏病变有较高的诊断价值,为临床治疗方案的选择提供帮助。

Objective To study the diagnostic and clinical value of CT for the splenic occupied lesions. Methods Clinical and CT materials of 26 cases of splenic lesions proved pathologically and clinically were analyzed retrospectively. CT characters of the lesions were summarized. Enhanced CT scanning were performed in 12cases. Results In 26 cases, non-neoplastic lesions were 5 cases, including abscess (n=2), tuberculosis(n=2) and infarction(n=l). Benign tumors were hemangiomas and cysts (n=2 respectively). Malignant tumors were 17 cases, including hemangiosarcoma(n=3),NHL(n=8),metastasis(n=6). Conclusions Splenic lesions can be found in plain CT scan and the recognition of the lesions to the adjacent organs is entire.Enhanced scanning could perform more information. So CT is with high diagnostic value to splenic lesions and helpful to the choice of clinical treatment.