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目的:探讨儿童脐尿管囊肿伴感染的CT诊断价值。方法:回顾性分析16例经手术及病理证实为脐尿管囊肿合并感染的横断面及多平面重建图像的CT表现。结果:16例病例中,病变部位均位于腹中线,膀胱与脐之间的囊性肿物,囊壁较厚,其内囊液密度均匀,肿物边缘毛糙,周围脂肪间隙模糊,增强扫描后囊壁中等或明显强化,囊内容物无强化。结论:CT平扫加增强能清楚显示脐尿管病变的部位、形态、密度及邻近组织的关系,有利于该病的正确诊断及鉴别诊断,为临床诊断和制定手术方案有指导作用。
Objective: To investigate the diagnostic value of CT in children with urachal cyst infection. Methods: A retrospective analysis of 16 cases of pathologically confirmed urachal cyst infection combined with cross-sectional and multi-planar reconstruction of the CT images. Results: Among the 16 cases, the lesion was located in the midline of abdomen, the cystic mass between the bladder and the umbilicus was thicker, the density of the cyst in the cyst was uniform, the margin of the tumor was rough, the fat gap around was faint, Medium or significantly enhanced wall, capsule content without strengthening. Conclusion: CT scan and enhancement can clearly show the location, shape and density of the urachus lesions and the relationship between adjacent tissues, which is helpful for the correct diagnosis and differential diagnosis of the disease, which can guide the clinical diagnosis and surgical planning.