儿童腹部脏器外囊性病变的CT表现特点及诊断价值

CT Manifestations and its Diagnostic Value of Abdominal Non-Organic Cystic Lesions in Children

目的分析儿童腹部脏器外囊性病变的CT特点及诊断价值。方法回顾性分析自2011年6月-2015年6月于我院经病理证实为腹部脏器外囊性病变的34例患儿的临床资料,所有患儿均已接受CT检查,且临床资料完整,总结儿童腹部脏器外囊性病变的CT影像学特点,评估其诊断价值。结果本组34例腹部脏器外囊性病变患儿中,淋巴管瘤1例,腹部脓肿10例,肠系膜囊肿4例,肠重复畸形4例,大网膜囊肿1例,血肿2例,囊性畸胎瘤4例,卵巢囊肿7例,小肠炎性肌纤维母细胞瘤1例。CT共误诊3例,诊断准确率为88.24%。结论 CT扫描可清晰显示小儿腹部脏器外囊性病变特点,为术前诊断提供充分的依据,诊断价值较高。

Objective To analyze the CT features and its diagnostic value of abdominal non organic cystic lesions in children. Methods The clinical data of 34 children with pathologically proved abdominal non organic cystic lesions in our hospital from June 2011 to June 2015 were retrospectively analyzed. All the diseased children underwent CT examination and the clinical data were complete. The CT imaging features of abdominal non organic cystic lesions in children were summarized and its diagnostic value was evaluated. Results Among the 34 cases of children with abdominal non organic cystic lesions, there was a case of lymphangioma, 10 cases of abdominal abscess, 4 cases of mesenteric cysts, 4 cases of intestinal duplication, a case of omental cysts, 2 cases of chronic hematoma, 4 cases of cystic teratoma, 7 cases of ovarian cysts and a case of small intestine inflammatory myofibroblastoma. 3 cases were misdiagnosed by CT and the diagnostic accuracy was 88.24%. Conclusion CT scan can clearly show the characteristics of the abdominal non organic cystic lesions in children, and provide abundant basis for preoperative diagnosis. The diagnostic value is higher.