多层螺旋CT对全身淋巴管瘤的诊断价值

Diagnostic value of multi-slice spiral CT in systemic lymphangioma

目的:探讨多层螺旋CT对全身淋巴管瘤的诊断价值。方法:对经MSCT检查并手术或穿刺病理证实的15例淋巴管瘤,男7例,女8例,年龄1～60岁。所有病例均行CT平扫及增强扫描。回顾性分析MSCT表现与手术病例对照。结果:根据淋巴管瘤的发生部位分为颈部5例、躯干1例、腹腔肠系膜3例、内脏6例,病灶密度均匀,CT值均类似于水,在±10HU之间。病灶大小直径3～15cm,表现为沿组织间隙适形性生长的囊袋状病灶,壁薄,光滑,可强化,相邻组织受压移位。所有病例病程1～10年,平均(4.5±1.5)年,除1例合并感染外,其余病例均无疼痛。1例手腕稍有不适。结论:MSCT可将淋巴管瘤的具体发生部位、病灶累及范围等相关信息充分显示出来,具有重要的临床诊断价值,可为临床治疗和预后评定提供指导。

Objective To study the multilayer spiral CT for the whole body lymphangioma diagnosis value. Methods By MSCT examination and operation or pathology biopsy of 15 cases of lymphangioma, male in 7 patients, 8 cases of female, age 1~60 years old. All cases were performed with CT plain scan and enhanced Saul. Retrospective analysis of MSCT manifestations and surgical case-control. Results According to the occurrence of lymphangioma part is divided into the neck in 5 patients, trunk 1 case, celiac mesenteric 3 cases, 6 cases of internal organs, lesions density uniform, CT value are similar to the water, in between ± 10 hu. Lesions size diameter 3~15 cm, for the performance of the organization clearance conformal sex growth capsule pocket lesions, the wall is thin, smooth, can strengthen, adjacent tissue compression shift. All cases course 1~10 years, average(4.5±1.5)years, except 1 case merge infection outside, the rest cases were no pain. 1 case of slight discomfort wrist. Conclusion MSCT can fully display the specific location of lymphangioma, the extent of lesion involvement and other relevant information, and has important clinical diagnostic value, which can provide guidance for clinical treatment and prognosis assessment.