本文選題：膽囊腺肌增生癥　切入點：羅-阿氏竇　出處：《臨床放射學雜志》2015年09期

【摘要】：目的探討局限型膽囊腺肌增生癥(GBA)的CT分型及臨床意義。方法搜集38例經(jīng)手術(shù)病理證實的局限型GBA患者的臨床及影像資料,男23例,女15例,平均年齡57歲。全部病例均行多層螺旋CT(MSCT)平掃及多期增強掃描,原始數(shù)據(jù)行CT薄層重組及多平面重組(MPR),根據(jù)CT表現(xiàn)對局限型GBA進行分型。結(jié)果38例局限型GBA中,基底型9例,膽囊底部帽狀、半環(huán)狀或扁平狀輕度增厚;壁內(nèi)型3例,底部局限性增厚向腔內(nèi)隆起;乳頭型24例,增厚底部呈乳頭狀向腔外凸出;混合型2例,底部增厚同時向腔內(nèi)、外隆起。各型病例在平掃及多期增強掃描均可見分布于整個增厚壁內(nèi)多發(fā)大小不等的羅-阿氏竇(RAS)。結(jié)論局限型GBA的CT分型有望為臨床治療及手術(shù)方案的選擇提供參考依據(jù)。
[Abstract]:Objective to study the CT classification and clinical significance of GBA in localized gallbladder adenomyosis.Methods the clinical and imaging data of 38 patients with localized GBA confirmed by operation and pathology were collected. There were 23 males and 15 females with an average age of 57 years.All cases were performed multislice spiral CT CT plain scan and multiphase enhanced CT scan. The original data were divided into local GBA by CT thin layer recombination and multiplanar recombination.Results among the 38 cases of localized GBA, 9 cases were basal type, the bottom of the gallbladder was cap shaped, semi-circular or flattened slightly thickened, intramural type in 3 cases, local thickening of the base toward intracavitary protuberance, papillary type in 24 cases, the thickening base of papillary type appeared papillary protruding to the external cavity.Mixed type 2 cases, the bottom thickened simultaneously to the cavity, the external protuberance.In all types of cases, RASA with multiple sizes in the thickened wall can be seen on plain scan and multiphase enhanced scan.Conclusion CT classification of localized GBA may provide reference for clinical treatment and operation.
【作者單位】： 蘇州大學附屬第一醫(yī)院影像中心;永鼎醫(yī)院影像科;
【分類號】：R575.6;R816.5

【相似文獻】

相關期刊論文 前8條

1 張建新,王旭青,李杰,吳敦;膽囊腺肌增生癥32例分析[J];鎮(zhèn)江醫(yī)學院學報;1999年01期

2 盛敏;陳正光;高萍;姜英;張立仁;金征宇;;羅-阿氏竇診斷膽囊腺肌增生癥的價值[J];實用放射學雜志;2008年05期

3 鄭輝;周春艷;姜菊;由秀;;超聲在膽囊腺肌增生癥診斷中的應用與分析[J];臨床薈萃;2011年08期

4 柏宇;膽囊腺肌增生癥1例[J];四川醫(yī)學;2002年01期

5 柳松;張學軍;;局限型膽囊腺肌增生癥的超聲特征及病理對照分析[J];中國醫(yī)藥指南;2013年26期

6 張勤勤;陳菲;邱少東;;超聲和CT對膽囊腺肌增生癥診斷價值的對照分析[J];臨床肝膽病雜志;2014年06期

7 郭玉萍,高思仰,肖敏;膽囊腺肌增生癥的超聲漏誤診分析(附23例報告)[J];臨床誤診誤治;2004年06期

8 ;[J];;年期

相關會議論文 前1條

1 陳群安;;膽囊局限型腺肌增生癥表現(xiàn)為膽囊壁內(nèi)囊腫1例[A];全國醫(yī)學影像技術(shù)學術(shù)會議（CMIT-2004）論文匯編[C];2004年

，

本文編號：1724666