左上腹囊性病变的CT诊断及误诊原因分析

CT Diagnosis of Cystic Lesion in Left Upper Abdomen and Analysis of Misdiagnosed Cases

报道经手术、病理证实的左上腹囊性或囊实质性病变 2 2例的 CT表现及误诊病例分析 ,其中 :胃平滑肌肉瘤 8例 ,胰腺粘液性囊腺瘤 5例 ,急性胰腺炎伴假性囊肿 3例 ,胰腺囊腺癌 2例 ,结肠癌 2例 ,腹腔脓肿 2例。CT诊断 ,15例定位定性准确 ,3例定位定性错误 ,4例未定性或未定位。尽管左上腹解剖复杂 ,但

CT features of 22 cases of left upper abdominal cystic or cyst solid lesions proved by operation and pathology were studied and the misdiagnosed cases were analyzed. Among the 22 cases, 8 cases were stomach leiomyosarcoma, 5 pancreatic mucous cystadenoma, 3 acute pancreatitis with pseudocyst, 2 pancreatic cystadenocarcinoma, 2 colonic carcinoma, 2 abdominal abcess. The results showed that 15 cases out of the 22 cases had an accurate localizable and qualitative diagnosis, 3 cases had a wrong localizable and qualitative diagnosis, 4 cases had no qualitative or localizable diagnosis. Anatomy of left upper abdomen is complicated, but CT had an important diagnostic value for cystic lesion.