脾脏结核的CT影像表现

中国防痨杂志 ›› 2005, Vol. 27 ›› Issue (1): 42-43.

脾脏结核的CT影像表现

段鸿飞；周新华；贺伟；

北京市结核病胸部肿瘤研究所北京 101149；

出版日期:2005-01-10 发布日期:2005-11-03

CT manifestations of splenic tuberculosis

Duan Hongfei,Zhou Xinhua,He Wei.

Beijing Tuberculosis & Thoracic Tumor Research Institute,Beijing 101149,China

Online:2005-01-10 Published:2005-11-03

摘要/Abstract

摘要： 目的　探讨脾脏结核的CT影像表现及其诊断价值。方法回顾分析临床证实的 25例脾脏结核的CT表现,其中男性 15例,女性 10例,年龄 16～ 52岁,中位年龄 25岁。结果 25例脾脏结核CT表现分为脓肿型、粟粒型、混合型和陈旧钙化型。平扫病灶模糊不清,增强后病灶显示清楚,但边缘显示不规则。结论患者脾脏CT影像具有典型表现,年龄较轻且合并有肺结核病或/和其他肺外结核时,应考虑脾脏结核。

关键词: 结核,脾, 体层摄影术,X线计算机

Abstract: Objective To assess CT manifestations and diagnostic value in splenic tuberculosis.Methods To analysis CT findings in 25 cases with splenic tuberculosis proved by clinical examinations retrospectively.There were 15 men and 10 women with ages ranging from 16 to 52 years old,and the median age was 25 years old.Results 25 cases with splenic tuberculosis can be divided as apostematic,miliary,incorporated and calcified types.The outlines of these lesions were vague when plain scanning.After enhancement,these lesions were clear with irregular rims.Conclusion When patients have typical manifestations mentioned above,and they are younger and diagnosed as pulmonary or/and extrapulmonary tuberculosis,splenic tuberculosis should be considered.

Key words: Tuberculosis,splenic, Tomography,X-ray computed

段鸿飞,周新华,贺伟,. 脾脏结核的CT影像表现[J]. 中国防痨杂志, 2005, 27(1): 42-43.

Duan Hongfei,Zhou Xinhua,He Wei.. CT manifestations of splenic tuberculosis[J]. Chinese Journal of Antituberculosis, 2005, 27(1): 42-43.