脾脏囊性占位性病变的螺旋CT诊断价值

目的:探讨脾脏囊性占位性病变的螺旋CT表现及其诊断价值。方法:回顾性分析经手术病理或穿刺活检证 实19例脾脏囊性占位性病变的CT表现。19例均行CT平扫,16例行动态增强扫描。结果:19例中脾囊肿10例,脾转移 瘤4例,脾脏淋巴管瘤2例,脾海绵状血管瘤2例及脾原发性淋巴瘤1例。CT对脾脏囊性占位性病变的检出率极高,能 明确肿块性质、范围及其与周围组织的关系。结论:平扫和动态增强螺旋CT检查对脾脏囊性占位性病变有较高的定性 诊断价值。

Evaluation the Value of Helical CT Scanning in Diagnosing Cystiform Space-Occupying Lesions in the Spleen

Objective:To study the helical CT findings of splenic space-occupying lesions and to evaluate the value of CT scan in the diagnosis of the disease.Methods:A retrospective analysis was made on the CT scans of 19 patients with surgically and pathologically proven splenic space-occupying lesions,which included unenhanced CT scan (n=19) and dynamic enhanced CT scan (n=16).Results:There were 10 cases of splenic cysts,4 cases of splenic metastases,2 cases of cystic lymphanioma,2 cases of splenic cavernous hemangioma and 1 case of splenic primary malignant lymphoma.CT scan could easily detect the splenic space-occupying lesions,and could well demonstrate the size,shape,density of the lesions and the surrounding structures as well.Conclusion:The multi-phase helical CT scan are very helpful in the the diagnosis of splenic cystiform space-occupying lesions.