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小儿腹部肿块的CT诊断价值
引用本文:谢力健,李雷,庄辛,周怀琪. 小儿腹部肿块的CT诊断价值[J]. 甘肃医药, 2009, 28(2): 89-94
作者姓名:谢力健  李雷  庄辛  周怀琪
作者单位:白银市第二人民医院放射科, 甘肃白银,730900;兰州大学第一医院放射科, 甘肃兰州,730030
摘    要:
目的:探讨CT对小儿腹部肿块的诊断价值。方法:对54例施行CT检查并具有完整资料的小儿腹部肿块的病例进行回顾性分析。结果:54例患儿中,良性肿块31例(占57.4%),恶性肿块23例(占42.57%),实质性肿块25例(占46.19%),囊性肿块29例(占53.7%)。囊性肿块中先天性胆总管囊肿12例,先天性肾盂积水7例,先天性肾囊肿6例,囊性畸胎瘤2例,肠系膜囊肿1例,腹腔脓肿1例。实质性肿块中神经母细胞瘤6例,肾母细胞瘤11例,淋巴瘤5例,肝母细胞瘤1例,畸胎瘤2例。本组CT检查结果术前定位诊断正确率96.2%(52/54),定性诊断正确率62.96%(34/54)。同时对各种疾病进行了鉴别诊断。结论:cT检查是儿童腹部肿块最有诊断价值的检查方法之一,可为术前定位、定性诊断、鉴别诊断、决定能否完整切除和估计预后提供重要依据,是儿童腹部肿块病变的必查项目之一。

关 键 词:小儿  腹部肿块  体层摄影术、X线计算机

The value of CT diagnosis for abdominal masses in children
XIE Li-jian LI Lei ZHUANG Xin ZHOU Huai-qi .Radiology. The value of CT diagnosis for abdominal masses in children[J]. , 2009, 28(2): 89-94
Authors:XIE Li-jian LI Lei ZHUANG Xin ZHOU Huai-qi .Radiology
Affiliation:XIE Li-jian1 LI Lei2 ZHUANG Xin2 ZHOU Huai-qi2 1.Radiology department of second people's hospital of Baiyin city,Baiyin 730900,China,2.Radiology department of first hospital affiliated to Lanzhou University,Lanzhou 730030
Abstract:
Objective:To evaluate CT value in the diagnosis for abdominal masses in children.Methods:CT findings of 54 children cases with abdominal masses were retrospectively analyzed. Results: Of all the cases,31(57.4%) cases were proved benign and 23(42.57%) cases malignant.CT revealed solid mass in 25 cases and cystic mass in 29 cases.Of all cases of cystic masses, there were 12 cases of congenital choledochal cysts,7 cases of congenital serious hydronephrosis,6 cases of congenital renal cyst, 2 cases of cystic te...
Keywords:children  abdominal masses  tomography  X-ray computed  
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