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CT诊断腹膜后纤维化
引用本文:朱翔,章士正,赵峰.CT诊断腹膜后纤维化[J].中国医学影像技术,2009,25(6):1047-1049.
作者姓名:朱翔  章士正  赵峰
作者单位:1. 浙江大学医学院附属邵逸夫医院放射科,浙江大学邵逸夫临床医学研究所,浙江,杭州,310016;浙江嘉兴第一医院放射科,浙江,嘉兴,314000
2. 浙江大学医学院附属邵逸夫医院放射科,浙江大学邵逸夫临床医学研究所,浙江,杭州,310016
摘    要:目的 评价CT诊断腹膜后纤维化的价值. 方法 分析经临床病理证实的9例腹膜后纤维化的CT表现.9例均接受CT平扫及增强扫描,采用多平面重建 (MPR) 技术行后处理. 结果 所有患者CT平扫表现腹膜后近似于肌肉密度的不规则形软组织病变,包绕腹膜后大血管,6例伴有肾盂输尿管扩张积水.增强扫描示8例病变不同程度强化,1例无明显强化. 结论 CT能很好显示腹膜后纤维化病变的各种表现,当腹膜后病变包绕腹膜后大血管,合并肾盂及输尿管扩张积水时应考虑到本病.

关 键 词:腹膜后纤维化  体层摄影术  X线计算机
收稿时间:2009/1/23 0:00:00
修稿时间:3/2/2009 12:00:00 AM

CT diagnosis of retroperitoneal fibrosis
ZHU Xiang,ZHANG Shi-zheng and ZHAO Feng.CT diagnosis of retroperitoneal fibrosis[J].Chinese Journal of Medical Imaging Technology,2009,25(6):1047-1049.
Authors:ZHU Xiang  ZHANG Shi-zheng and ZHAO Feng
Institution:Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, Hangzhou 310016, China;Department of Radiology, Jiaxing First Hospital, Jiaxing 314000, Chi;Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, Hangzhou 310016, China;Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Sir Run Run Shaw Institute of Clinical Medicine of Zhejiang University, Hangzhou 310016, China
Abstract:Objective To assess the value of CT in the diagnosis of the retroperitoneal fibrosis (RPF). Methods Nine patients of RPF proved clinical-pathologically underwent CT plain and contrast enhancement scanning, and the images were reconstructed with multi-planar reconstruction (MPR) technique. Results CT plain scan showed homogeneous tissue isodensity to muscle and enveloping the great blood vessels in retroperitoneal space in all 9 patients, as well as hydronephrosis and dilatation of the ureters in 6 patients. After contrast enhancement, lesions in 8 patients enhanced differently. Conclusion CT can show the manifestations of RPF. RPF should be considered when a mass in retroperitoneal space, especially with hydronephrosis and dilatation of the ureter is found.
Keywords:Retroperitoneal fibrosis  Tomography  X-ray computed
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