腹部巨大囊性病变的CT分析

目的探讨腹部巨大囊性病变的CT表现及其诊断价值。方法搜集经手术病理证实的腹部巨大囊性病变28例,回顾性分析其CT。结果28例中,卵巢囊肿4例,卵巢浆液性和黏液性囊腺瘤各1例,肾重度积水3例,肾囊肿2例,输尿管囊肿2例,胰腺假性囊肿3例,脾脏囊肿3例,先天性胆总管囊肿2例,肝脏囊肿1例,肠系膜囊肿和肠系膜淋巴管囊肿各1例,脐尿管囊肿1例,腹膜后脂肪肉瘤囊性变1例,腹膜不成熟畸胎瘤1例,囊性转移癌1例。腹部囊性病变92.9%为良性,各种囊性病变有其一定的发病部位和其特征性的CT表现。结论CT是腹部囊性病变定位、定性诊断的重要影像学手段。

CT Analysis of the Giant Cystic Lesions in Abdomen

Objective To analyse CT findings and CT diagnostic value of the giant cystic lesions in abdomen.Methods CT findings of the giant cystic lesions in abdomen were retrospectively analyzed in 28 pathologically proven cases.Results In 28 cases,there were 4 cases of ovarian cystic, 1 ovarian serous cystadenoma, 1 ovarian mucinous cystadenoma, 3 giant hydronephrosis, 2 cyst of kidney, 2 cyst of ureter,3 pancreatic pseudocyst, 3 splenic cyst, 2 congenital common bile duct cyst, 1 hepatic cyst, 2 cystic lymphangioma, 1 urachal cyst, 1retroperitoneal cystic liposarcoma, 1 unmature cystic teratoma and 1 cystic metastatic carcinoma. Up to 92.9% of the giant cystic lesions inabdomen was benign. Each disease was of its own features on CT scans and certainly location.Conclusion CT is very effective imagingmodality in localization and qualitative diagnosis of the giant cystic lesions in abdomen.