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目的探讨儿童腹部脏器外囊性占位病变的CT表现特点。方法回顾性分析经临床手术病理证实的13例儿童腹部脏器外囊性病变的CT表现。9例行平扫与增强检查,4例行平扫检查。结果肠源性囊肿3例、肠系膜淋巴管瘤2例、大网膜囊肿3例、囊性畸胎瘤3例、腹腔脓肿2例。并发系膜扭转1例、网膜扭转2例、囊肿出血2例、肠穿孔和右侧胸腔疝各1例。结论儿童腹部脏器外囊性病变主要为良性病变,不同类型囊性病变,各具有一定的CT特征。但对于少见类型囊性病变,术前定性诊断仍有一定的困难。
Objective To investigate the CT features of cystic lesions in children with abdominal organs. Methods Retrospective analysis of CT findings of 13 cases of external cystic lesions of abdominal organs confirmed by clinical surgical pathology. 9 routine scan and enhanced examination, 4 routine plain scan. Results 3 cases of enterogenous cysts, 2 cases of mesenteric lymphangioma, 3 cases of omental cyst, cystic teratoma in 3 cases, 2 cases of abdominal abscess. 1 case of mesangial torsion, 2 cases of omental torsion, 2 cases of cyst hemorrhage, 1 case of intestinal perforation and right thoracic hernia. Conclusion The main cystic lesions of abdominal organs of children are benign lesions. Different types of cystic lesions have certain CT features. However, for the rare type of cystic lesions, preoperative qualitative diagnosis is still some difficulties.