右侧额颞顶叶胶质瘤的CT平扫及增强扫描影像特征分析

The Analysis of Plain and Enhanced CT Scan image feature in the Diagnosis of Right Frontal Temporal Parietal Glioma

目的探讨CT对右侧额颞顶叶胶质瘤的临床诊断价值。方法回顾性分析我院2014年1月-2016年1月期间接收并经手术病理确诊的38例右侧额颞顶叶胶质瘤患者的CT平扫及增强扫描影像资料,并对额颞顶叶胶质瘤患者的肿瘤大小、类型、与周围组织关系以及病变级别等CT影像特征进行综合分析。结果 38例患者中诊断出星形细胞瘤26例,少枝胶质瘤7例,3例室管膜瘤以及2例髓母细胞瘤。其中低级别胶质瘤6例,高级别脑胶质瘤32例。11例患者出现右侧侧脑室受压变窄,4例伴有脑内出血现象者。结论 CT平扫结合增强扫描在对右侧额颞顶叶胶质瘤的诊断过程中,够清楚地显示出胶质瘤发育形态、大小,还能够确诊出胶质瘤类型和阶段,以及其侵犯周期组织情况,具有重要的临床应用价值,值得进一步推广和应用。

Objective To investigate the clinical value of plain and enhanced CT scan in the diagnosis of right frontal temporal parietal glioma.Methods Retrospectively analyze plain and enhanced CT scan data of 38 right frontal temporal parietal glioma patients from January 2014 to January 2016, and comprehensively analyze CT imaging characteristics of tumor size, type, the relationship with the surrounding tissue and lesion level.Results According to diagnosis, among 38 patients, there are 26 cases of astrocytoma, 7 cases of small sticks glioma, 3 cases of ependymoma and 2 cases of medulloblastoma. There are 6 cases of low-grade gliomas in, 32 cases of high-grade gliomas. 11 patients are diagnosed as right ventricle narrowing due to pressure, 4 cases are associated with bleeding in the brain. Conclusion Plain and enhanced CT scan can effectively diagnose the shape, size, location and stage of glioma and the relationship with surrounding organs, which is of great clinical importance and is worthy of further spread and application .