小儿腹部囊性病变CT诊断

CT Diagnosis of The Cystic Lesions in Abdomen in Children

目的探讨小儿腹部囊性病变CT诊断和鉴别诊断要点。方法腹部囊性占位16例,均经手术病理证实。分析各个病变CT表现的特点。结果腹腔内囊性占位3例,其中巨大的大网膜囊肿2例,肠系膜囊肿1例。腹膜后囊性占位13例,胆总管囊肿7例,腹膜后淋巴管瘤2例,囊性畸胎瘤1例,重度肾积水3例。结论小儿腹部囊性占位,病变小者诊断容易;巨大囊性病变形态不规则,位置难定,鉴别诊断困难。

Objective To study CT diagnosis and differential diagnosis of the cystic lesions in abdomen in children. Methods 16 cases of the cystic lesions in abdomen were confirmed by surgery and histopathology.To analyze CT features of every lesions. Results 3 cases of the cystic lesions in abdominal cavity include 2 cases of the giant cystic lesions of the omentum majus,1 mesenteric cystis.13cases of retroperitoneal cystis lesions include 7 choledochoceles,2 inflammatory cyst,1 cystic teratoma, 3 giant hydronephrosis. Conclusion CT diagnosis of the cystic lesions in abdomen in children is ease when lesions are minor. CT differential diagnosis is difficult when cystic lesions in abdomen are the giant.