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肠道淋巴瘤的多层螺旋CT影像学分析

时间:2006-08-08 17:32:50  来源:  作者:

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The MDCT Analysis of Colon-intestinal Lymphoma

Yong Jin,Hui Zhu,Hua Zhang,Da-ming Wu,Ke-min Chen

Department of Radiology,Ruijin Hospital,Shanghai Jiaotong University,Shanghai 200025

靳 勇   朱 晖  张 华  吴达明  陈克敏

上海交通大学医学院附属瑞金医院放射科,上海  200025

 

ABSTRACT

  Objective:To respective analysis the multi-detector CT(MDCT) manifestation of colon-intestinal non-Hodgkin’s lymphoma(GI-NHL).

  Methods:This study included 32 colon-intestinal NHL,who were verificated by pathology. The MDCT data of those patients including thickness of lesion,the imaging stage,the CT value pre-and post-enhancement were investigated. The lesion site and pathology results were also compared with the MDCT manifestation.

  Results:Most of colon-intestinal NHL had the characteristic of infiltrative lesion and lymphadenopathy; Aneurysmal dilatation and air in the lesion were the marked sign of ileum lymphoma.

  Conclusion:MDCT was a effective method to diagnosis colon-intestinal NHL,especially there was marked signs in ileum lymphoma.

  Key words:Colon-intestinal tract,Non-Hodgkin’s lymphoma,Muti-detector CT

 

  胃肠道原发性淋巴瘤较少见,约占胃肠道恶性肿瘤的1%~4%。其中胃部淋巴瘤较多见约占50%,而小肠约占20%~54%,结肠约占4%~6%[1,2]。本文就2003年1月~2006年3月间上海瑞金医院经手术病理或内镜、穿刺活检证实,并有较完整的CT检查资料的肠道恶性淋巴瘤32例进行回顾性分析,探讨多层螺旋CT对肠道原发性淋巴瘤的诊断价值及其与病理结果的关系。

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