颅咽管瘤MSCT、MRI影像学特征及与病理学的对照研究

MSCT and MRI Features of Craniophary ngioma and Comparative Study with Pathological Features

目的观察其MSCT、MRI影像学特征及与病理特征进行对照分析。方法回顾性分析本院2017年6月至2019年4月收治的60例颅咽管瘤患者的临床资料,观察MSCT检查及MRI检查平扫和增强扫描的影像特点,与病理特征进行对照;分析颅咽管瘤的MSCT和MRI表现,记录肿瘤平扫和增强后的相关数据。结果60例患者中T1WI上呈低信号34例,混杂信号19例,高信号7例。T2WI以高信号为主,31例内有低信号区;有49例钙化,囊肿壁钙化呈弧线状、蛋壳状,实质肿块钙化呈点状、斑点状。结论MSCT检查及MRI检查可清楚显示颅咽管瘤的影像学特点,为临床上诊断和鉴别颅咽管瘤提供了可靠的信息,并与临床病理具有良好的相关性,结合患者临床资料可有效提高诊断准确率。

Objective To observe the MSCT and MRI imaging features of craniopharyngioma and to compare with pathological features.Methods The clinical data of 60 patients with craniopharyngioma admitted from June 2017 to April 2019 in our hospital were retrospectively analyzed.The imaging features of plain scan and enhanced scan of MSCT and MRI were observed and compared with pathological features.The MSCT and MRI features of craniopharyngioma were analyzed and data after plain scan and enhanced scan of tumor were recorded.Results In 60 patients,34 patients had low signal on T1WI,19 patients had mixed signals,and 7 patients had high signal.T2WI was mainly high signal,31 cases had low signal area.There were 49 cases with calcification,and the calcification of the cyst wall was curved and eggshell-like.There were 49 cases of calcification,and the calcification of the cyst wall was curved and eggshell.The calcification of the parenchymal mass was punctiform and spotted.Conclusion MSCT and MRI can clearly show the imaging features of craniopharyngioma,which provide reliable information for clinical diagnosis and differential diagnosis of craniopharyngioma,and they have a good correlation with clinical pathology.They combined with patient clinical data can effectively improve the diagnostic accuracy.