發(fā)布時(shí)間：2018-03-11 11:27

  本文選題：兒童　切入點(diǎn)：血管　出處：《中國(guó)醫(yī)學(xué)計(jì)算機(jī)成像雜志》2017年02期 　論文類型：期刊論文

【摘要】：目的:探討多排螺旋CT(MSCT)對(duì)兒童顱骨膜血竇(SP)的診斷及應(yīng)用價(jià)值。方法:回顧性分析經(jīng)MSCT檢查的SP病例共30例,根據(jù)腫塊的部位,分為近中線區(qū)和遠(yuǎn)離中線區(qū)的顱骨膜血竇,記錄CT表現(xiàn)及治療隨訪情況。結(jié)果:30例中有22例為近中線區(qū)的類圓形包塊;其中21例顱骨缺損為類圓形的孔狀及點(diǎn)狀;3例合并顱縫早閉,2例合并血栓。另外8例顱骨膜血竇位于遠(yuǎn)離中線部位,腫塊形態(tài)各異,顱骨缺損不規(guī)則。30例中有23例MSCT可顯示腫塊經(jīng)顱骨缺損處與顱內(nèi)靜脈或靜脈竇相通;所有病例,均有骨質(zhì)改變。結(jié)論:近中線區(qū)的兒童顱骨膜血竇,包塊與骨質(zhì)缺損多為類圓形;而遠(yuǎn)離中線區(qū)的腫塊及骨質(zhì)缺損形態(tài)不規(guī)則。MSCT術(shù)前可以明確診斷該病,通過(guò)測(cè)量顱骨缺損的大小并發(fā)現(xiàn)合并癥,對(duì)治療有一定的指導(dǎo)作用。
[Abstract]:Objective: To evaluate multi-slice spiral CT (MSCT) of sinus pericranii (SP) diagnosis. Methods: retrospective analysis of the MSCT SP examination in 30 cases according to the tumor location, divided into the near midline area and away from the midline sinus pericranii records, CT and treatment of follow-up. Results: among the 30 cases, 22 cases were round mass near the midline; including 21 cases of skull defect for porous and punctate round; 3 cases with craniosynostosis, 2 cases with thrombosis. Another 8 cases of cranial periosteum sinusoid is located away from the midline, different forms of mass cranial bone defect, irregular.30 cases in 23 cases of MSCT showed the tumor through the skull defect with intracranial venous or sinus interlinked; all cases had bony changes. Conclusion: near the midline sinus pericranii, mass and bone defects were oval in shape; and away from the midline mass morphology and bone defect Rule.MSCT can diagnose the disease clearly before operation. The size of skull defect is measured and the complication is found. It has a certain guiding effect on the treatment.

【作者單位】： 南京醫(yī)科大學(xué)第一附屬醫(yī)院放射科;南京醫(yī)科大學(xué)附屬婦產(chǎn)醫(yī)院;南京醫(yī)科大學(xué)附屬南京兒童醫(yī)院;
【分類號(hào)】：R726.5;R816.92

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本文編號(hào)：1597963