多层螺旋CT在原发性小肠淋巴瘤和小肠腺癌中的表现及价值

摘要
图/表
参考文献(16)
相关文章 (15)

全文: PDF (0 KB) HTML (36 KB)
输出: BibTeX | EndNote (RIS)

摘要目的探讨多层螺旋CT对原发性小肠淋巴瘤与原发性小肠腺癌的诊断价值。方法回顾性分析我院2007年1月～2016年12月收治的均经病理诊断确诊的41例原发性小肠恶性肿瘤患者的临床资料，其中原发性小肠淋巴瘤21例，原发性小肠腺癌20例，均行多层螺旋CT检查，比较两种疾病的发病部位和CT表现。结果21例原发性小肠淋巴瘤患者的发病部位为十二指肠2例、空肠4例、回肠15例，20例原发性小肠腺癌的发病部位为十二指肠15例、空肠3例、回肠2例，两者发病部位比较差异有统计学意义（P＜0.05）。两种原发性小肠恶性肿瘤患者在螺旋CT平扫时的局部肿块CT值比较，差异无统计学意义（P＞0.05）。增强扫描时，原发性小肠淋巴瘤动脉期、静脉期CT值分别为（46.0±7.6）、（67.9±6.5）HU，原发性小肠腺癌分别为（103.9±9.1）、（94.9±8.8）HU，两者比较差异有统计学意义（P＜0.05）。结论原发性小肠淋巴瘤和原发性小肠腺癌在多层螺旋CT检查中有不同的CT表现，多层螺旋CT对两种疾病的诊断和鉴别诊断具有较高的临床价值，值得临床推广应用。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	唐洪渠
	刘津
	武粟
	陈小春

关键词 ：原发性小肠淋巴瘤, 小肠腺癌, CT

Abstract：Objective To investigate the value of multi-slice spiral CT in the diagnosis of primary intestinal lymphoma and primary intestinal adenocarcinoma.Methods From January 2007 to December 2016,20 patients with primary intestinal adenoearcinoma and 21 patients with primary intestinal lymphoma were selected in our hospital.These 41 disgnosed patients received spiral CT examination.Tumor location and CT features of two tumors were compared.Results In the location of primary intestinal lymphoma,2 cases were in duodenum,4 cases were in jejunum,15 cases were in ileum. In the location of primary intestinal adenocarcinoma,15 cases were in duodenum,3 cases were in jejunum,2 cases were in ileum.It was statistically significant between the two groups(P＜0.05).There was no statistical significance in the CT value of the topical mass between these two primary intestinal tumor patients(P＜0.05).The CT value of arterial phase and venous phase were(46.0±7.6),(67.9±6.5)HU in intestinal lymphoma,which were significantly higher than those of intestinal adenoeareinoma[(103.9±9.1),(103.9±9.1)HU]respectively in contrast enhanced spiral CT,both of the differences were statistically significant(P＜0.05).Conclusion The multi-slice spiral CT features are different between the diagnosis of primary intestinal lymphoma and adenoearcinoma,the diagnostic method is worthy of wide clinical application.

Key words： Primary intestinal lymphoma Primary intestinal adenocarcinoma CT

引用本文:

唐洪渠;刘津;武粟;陈小春. 多层螺旋CT在原发性小肠淋巴瘤和小肠腺癌中的表现及价值[J]. 中国当代医药, 2017, 24(9): 89-91.
TANG Hong-qu;LIU Jin;WU Su;CHEN Xiao-chun. Manifestation and value of multi-slice spiral CT in primary small intestinal lymphoma and small intestine adenocarcinoma. 中国当代医药, 2017, 24(9): 89-91.

链接本文:

http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2017/V24/I9/89

[1]	周涛，刘振翠.CT仿真内镜对原发性小肠恶性肿瘤的诊断价值[J].中国医药导报，2015，12（5）：130-132.
[2]	Schottenfeld D，Beebe-Dimmer JL，Vigneau FD.The epidemiology and pathogenesis of neoplasia in the small intestine[J].Ann Epidemiol，2009，19（1）：58-69.
[3]	唐镇，初兆毅，韩英.原发性小肠肿瘤的诊断与治疗体会[J].中华普通外科杂志，2006，21（4）：299.
[4]	胡道予.小肠肿瘤影像学在小肠肿瘤诊断中的应用[J].临床外科杂志，2008，16（8）：507-508.
[5]	石磊.多层螺旋CT诊断及鉴别诊断小肠疾病的临床价值探讨[J].中国CT和MRI杂志，2015，13（2）：54-57.
[6]	Hara AK，Leighton JA，Heigh RI，et al.Crohn disease of the small bowel：preliminary comparison among CT enterography，capsule endoscopy，small-bowel follow-through，and ileoscopy[J].Radiology，2006，238（1）：128-134.
[7]	Ramachandran I，Sinha R，Rajesh A，et al.Multidetector row CT of small bowel tumors[J].Clin Radiol，2007，62（7）：607-614.
[8]	Horton KM，Fishman EK.Multidetector-row computed tomography and 3-dimensional computed tomography imaging of small bowel neoplasms：current concept in diagnosis[J].J Comput Assist Tomogr，2004，28（1）：106-116.
[9]	Minordi LM，Vecchioli A，Mirk P，et al.Muhidetector CT in small-bowel neoplasms[J].Radiol Med，2007，112（7）：1013-1025.
[10]	Pilleul F，Penigaud M，Milot L，et al.Possible small-bowel neoplasms：contrast-enhanced and water-enhanced multidetector CT enteroclysis[J].Radiology，2006，241（3）：796-801.
[11]	Buckley JA，Jones B，Fishman EK.Small bowel cancer.The imaging features and staging[J].J Radiol Clin North Am，1997，35（2）：381-402.
[12]	Erden A，Cumhur T，Olcer T.Superior mesenteric artery blood flow in patients with small bowel diseases：evaluation with duplex Doppler sonography[J].J Clin Ultrasound，1998，26（1）：37-41.
[13]	Maselli G，Polettini E，Casciani E，et al.Small-bowel neoplasms：prospective evaluation of MR enteroclysis[J].Radiology，2009，251（3）：743-750.
[14]	Van Weyenberg SJ，Meijerink MR，Jacobs MA，et al.MR enteroclysis in the diagnosis of small-bowel neoplasms[J]. Radiology，2010，254（3）：765-773.
[15]	Dharmendra V，John R，Stroehlein T，et al.Adenocarcinoma of the small bowel：a 60-yr perspective defined from M.D. Anderson center tumor registry[J].Am J Gastroenterol，2006，101（7）：1647-1654.
[16]	Ibrahim EM，Ezzat AA，El-Weshi AN，et al.Primary intestinal diffuse large B-cell non-Hodgkin′s lymphoma：clinical features，management，and prognosis of 66 patients[J]. Ann Oncol，2001，12（1）：53-58.