多层螺旋CT诊断阑尾黏液囊肿3例
张兰花,唐翠,刘渭贤
摘要(Abstract):
<正>阑尾黏液囊肿(appendiceal mucocele,AM)是由于阑尾腔内积聚黏液样物质引起阑尾腔进行性扩张的一种病变,有良恶性之分,起病缓慢,无急性感染时,症状和体征似慢性阑尾炎,误诊率高[1-4]。可偶然在手术中发现,在手术切除的阑尾标本中发生率约0.29%~0.4%[1,5]。首选治疗方法为手术切除,但若术前未考虑到该病可能因处理不当而导致囊肿破裂,从而引起腹腔种植播散形成腹膜假性
关键词(KeyWords):
阑尾;黏液囊肿;体层摄影术,X线计算机;诊断
基金项目(Foundation):
作者(Author):
张兰花,唐翠,刘渭贤
DOI: 10.19367/j.cnki.1000-2707.2014.04.051
参考文献(References):
- [1]Pickhardt P,Levy AD,Rohrmann CA.Primary neoplasms of the appendix:radiologic spectrum of disease with pathologic correlation[J].RadioGraphics,2003(23):645-662.
- [2]Pitiakoudis M,Tsaroucha AK,Mimidis K,et al.Mucocele of the appendix:a report of five cases[J].Tech Coloproctol,2004(8):109-112.
- [3]Kemal Karakaya,Figen Barut,Ali Ugur Emre,et al.Appendiceal mucocele:Case reports and review of current literature[J].World J Gastroenterol,2008(14):2280-2283.
- [4]Smeenk RM,van Velthuysen ML,Verwaal VJ,et al.Appendiceal neoplasms and pseudomyxoma peritonei:a population based study[J].EUR J Surg Oncol,2008(34):196-201.
- [5]Lien WC,Huang SP,Chi CL,et al.Appendiceal outer diameter asan indicater for differentiating appendiceal mucocele from appendicitis[J].Am J Emerg Med,2006(24):801-805.
- [6]殷薇薇,丛振杰,何秋香,等.阑尾粘液囊肿的CT诊断及其临床价值[J].放射学实践,2005(3):235-236
- [7]张兰花唐翠李莉,等.MDCT平扫靶心征对急性阑尾炎的诊断价值[J]贵阳医学院学报,2013(4):410-414.
文章评论(Comment):
|
||||||||||||||||||
|
||||||||||||||||||