| 王梦君,陈孝柏,孙小丽,常鲲,余春开,王仁贵.骨淋巴管瘤CT淋巴管造影及常规CT表现[J].中国医学影像技术,2018,34(11):1686~1689 |
| 骨淋巴管瘤CT淋巴管造影及常规CT表现 |
| CT lymphangiography and conventional CT manifestations of bone lymphangioma |
| 投稿时间：2018-02-02 修订日期：2018-06-25 |
| DOI：10.13929/j.1003-3289.201802009 |
| 中文关键词: 淋巴管畸形 淋巴管瘤 体层摄影术,X线计算机 淋巴造影术 |
| 英文关键词:Lymphatic abnormalities Lymphangioma Tomography, X-ray computed Lymphography |
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| 中文摘要: |
| 目的 探讨骨淋巴管瘤CT淋巴管造影（CTL）及常规CT表现。方法 回顾性分析79例病理证实或临床综合诊断为骨淋巴管瘤患者的临床及影像学资料。79例均接受直接淋巴管造影及造影后CT平扫，16例接受CT平扫及增强检查，分析其CTL和常规CT表现。结果 骨淋巴管瘤CT表现为骨内单发或多发低密度影，多位于脊柱（n=71）及骨盆（n=73）。79例中，囊状病变37例，筛网状病变18例，24例二者均存在；28例患者所有骨病变均可见硬化边，47例患者部分骨病变可见硬化边，4例患者所有骨病变均未见硬化边。骨内病变增强CT扫描均未见强化。CTL检查中，24例病变内可见碘化油沉积。结论 骨淋巴管瘤CTL及常规CT表现较具特征性，且常伴淋巴系统其他异常改变，有助于诊断。 |
| 英文摘要: |
| Objective To explore the CT lymphangiography (CTL) and conventional CT manifestations of bone lymphangioma. Methods Clinical and imaging data of 79 patients with pathologically proved or clinically diagnosed bone lymphangioma were retrospectively analyzed. All patients underwent CTL, 16 underwent plain and enhanced CT, then CTL and conventional CT manifestations were analyzed. Results Bone CTL showed single or multiple low density in bones, and most located in the spine (n=71) and pelvis (n=73). Among 79 patients, 37 only showed cystic lesions, 18 only showed mesh-like lesions, and 24 patients showed all the both. Totally 28 patients showed sclerotic edges in all their bone lesions, 47 patients showed sclerotic edges in some bone lesions, and 4 patients had no sclerotic edges in all bone lesions. There was no enhancement in CT scan of intraosseous lesions. CTL showed lipiodol depositions in 24 patients. Conclusion Bone lymphangioma has relative specific features of CTL and conventional CT manifestations, and often acompanies with other abnormalities of the lymphatic system, which can help to diagnose the disease. |
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