腹部隐睾肿瘤MSCT的诊断价值

Evaluation of multi-slice CT in diagnosing abdominal cryptorchid tumor

目的探讨MSCT多平面重建(MPR)和容积重建(VR)技术在诊断腹部隐睾合并肿瘤中的临床应用价值。方法搜集经手术病理证实的8例腹部隐睾肿瘤患者,分析其MPR、VR成像的CT特征。结果 8例中5例位于右侧,3例位于左侧。CT表现:肿瘤有完整或不完整包膜,密度多不均匀;增强实性部分轻-中度强化;MPR重组显示肿块长轴与睾丸下行途径一致,血管成像可显示肿瘤供血动脉为同侧睾丸动脉,睾丸静脉引流。结论腹部隐睾肿瘤有其影像学特征,MSCT后处理技术联合使用是术前定位定性诊断的理想影像手段。

Objective To evaluate the clinical application value of multi-slice CT（ MSCT） MPR and VR technique in cryptorchidism with tumors diagnosis. Methods By collecting 8 cases of abdominal cryptorchidism patients with tumor operation and pathology,the CT features of VR and MPR imaging were analyzed. Results Of the 8 patients,5 were located right and 3 were left. CT performance： Tumor had complete or incomplete capsule,uneven density,enhanced real partial light moderate enhancement,MPR recombination showed that the major axis of the tumor were consistent with the descending pathway of the testis,the blood supply arteries of the tumor can be displayed as the ipsilateral testicular artery, testicular venous drainage.Conclusions Abdominal cryptorchidism tumor has its imaging features, the combined use of MSCT postprocessing technique is the ideal imaging method for preoperative localization and qualitative diagnosis.