脾脏病变的CT诊断(附33例分析)

目的探讨CT检查对脾脏病变的诊断价值。方法回顾性分析经手术病理或穿刺活检证实33例脾脏病变的CT表现。33例均行CT平扫,28例行双期CT增强扫描,6例做了延迟扫描。结果33例中,非肿瘤性病变6例(结核2例,血肿3例,炎性假瘤伴局灶性血管瘤1例),良性肿瘤13例(囊肿5例,血管瘤4例,淋巴管瘤1例,脉管瘤3例),恶性肿瘤14例(淋巴瘤8例,转移瘤4例,恶性肌纤维母细胞瘤1例,血管内皮肉瘤1例)。结论CT对脾脏病变有较高的诊断价值。

CT Diagnosis of Splenic Lesions:An Analysis of 33 Cases

Objective To evaluate the value of CT scan in diagnosis of the splenic lesions.Methods A retrospective analysis was made on the CT scans of 33 patients with surgically and pathologically proven splenic lesions,which included plain CT scan(n=33),biphasic contrast-enhanced CT scan(n=28)and contrast delay scanning(n=6).Results In 33 cases,non-neoplastic lesions were 6 cases,including tuberculosis(n=2),hematomas(n=3)and inflammatory pseudotumor associated with a cavernous hemangioma(n=1).Benign tumors were 13 cases,including cysts(n=5),hemangiomas(n=4),lymphanioma(n=1)and lymph-hemangiomas(n=3).Malignant tumors were 14 cases,including malignant lymphoma(n=8),metastases(n=4),malignant myofibroblastoma and hemangioendothelial sarcoma(n=1,respectively).Conclusion CT is of significant value in diagnosis of splenic lesions.