| 赵萌,杨小庆,唐文伟,王刚,郑小波,杨蕊.多层螺旋CT诊断儿童颅骨膜血窦[J].中国医学影像技术,2010,26(10):1856~1858 |
| 多层螺旋CT诊断儿童颅骨膜血窦 |
| Multi-slice spiral CT in diagnosis of sinus pericranii in children |
| 投稿时间：2010-05-06 修订日期：2010-06-17 |
| DOI： |
| 中文关键词: 儿童 血管 畸形 体层摄影术,X线计算机 |
| 英文关键词:Child Blood vessels Abnormalities Tomography, X-ray computed |
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| 中文摘要: |
| 目的 探讨多层螺旋CT对儿童颅骨膜血窦的诊断及应用价值。 方法 回顾性分析21例经手术病理证实的儿童颅骨膜血窦患儿的临床表现和CT表现。 结果 儿童颅骨膜血窦的特征性临床表现为头部较柔软的包块,且大小可随颅内压变化而变化。16例颅骨膜血窦邻近头颅中线部位,肿块呈均匀或不均匀明显强化,18例有异常连接静脉,肿块相邻颅板均有骨质缺损,17例可见肿块经颅骨缺损处与颅内静脉或静脉窦相通;1例合并颅内动静脉瘘,2例合并永存镰状窦,2例合并颅缝早闭。 结论 结合特征性的临床表现和典型的CT特点,术前可以明确诊断儿童颅骨膜血窦。 |
| 英文摘要: |
| Objective To observe the diagnostic value of MSCT for sinus pericranii in children. Methods CT manifestations of 21 children with sinus pericranii confirmed by operation and pathology were retrospectively analyzed. Results The characteristic clinical features of sinus pericranii in children included the soft mass in the scalp and responded in the size to the change of the intracranial pressure. The lesions were adjacent to the midline of skull in 16 patients, and showed even or uneven enhancement obviously. Eighteen children showed anomalous connection of vein, and skull defects were seen adjacent to masses. In 17 children, apparent mass communicated with intracranial venous or sinus by skull defect. One child complicated with intracranial arteriovenous fistula, 2 with persistent falcine sinus and 2 with craniosynostosis. Conclusion Combined with characteristic clinical features, children with sinus pericranii can gain definite diagnosis with MSCT. |
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