小儿颈部包块的X线计算机体层摄影术诊断

目的总结小儿颈部包块的临床及影像诊断经验,分析评价CT在诊断小儿颈部包块中的价值。方法回顾性分析2004年1月-2006年6月本院颈部包块26例的临床、病理诊断资料及CT检测颈部包块起源的位置、密度、边缘情况和与周围结构的关系。结果CT诊断颈部包块发生于颈前区7例、颈外侧区13例、其他部位及不能明确者6例。低密度者8例,等密度、高密度者各2例,混杂密度14例;炎症性包块13例,先天性包块11例;甲状腺炎性包块1例;口咽部纤维、脂肪组织瘤样增生1例。结论CT检查是诊断小儿颈部包块的较佳方法,结合病史及体检有较高的诊断价值。

Diagnostic Value of X-Ray Computed Tomography on Neck Masses in Children

Objective To evaluate diagnostic value of X-ray computed tomography(CT) neck masses in children.Methods Clinic,pathologic diagnosis and CT scans of 26 patients from Jan.2004 to Jun.2006 with neck masses which location,density,edge and near construction were reviewed retrospectively.Results Seven cases in neck anterior area,13 cases in neck lateral area,6 cases in other areas or unconfirmed.Eight cases with lower density than cervical muscles,2 cases with same density,2 cases with higher density,14 cases with mixed density.Inflammatory masses were observed in 13 cases,congenital malformation in 11 cases,thyroiditis in 1 case,pharyngeal tumor-like proliferation in 1 case.Conclusion CT scan is the best choice of diagnosis of neck masses in children,and is valuable to diagnosis associated with history and physical examination.