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目的探讨CT对婴幼儿腹部巨大囊性病变的诊断价值及其鉴别诊断。方法搜集2003年-2009年间经手术病理证实的2岁以内患儿腹部巨大囊性病变62例,分析其病变部位、大小、形态、分隔、密度和强化、囊壁及与周围脏器关系等要素。结果 62例中,先天性胆总管囊肿4例,重度肾积水36例,巨输尿管2例,囊性肾母细胞瘤4例,大网膜囊肿4例,肠系膜囊肿3例,卵巢囊肿6例,囊性畸胎瘤3例。各种囊性病变有其一定的发病部位和特征性的CT表现。结论 CT是婴幼儿腹部囊性病变定位、定性诊断的重要影像学方法。
Objective To investigate the diagnostic value and differential diagnosis of CT in infants with giant cystic lesions. Methods Totally 62 cases of giant cystic lesions in the abdomen were collected from 2003 to 2009 in our hospital. The location, size, shape, division, density and enhancement of the lesion, the relationship between the cyst wall and the surrounding organs and other factors . Results Of 62 cases, 4 cases of congenital choledochal cyst, 36 cases of severe hydronephrosis, 2 cases of giant ureter, 4 cases of cystic nephroblastoma, 4 cases of omental cyst, 3 cases of mesenteric cyst, 6 cases of ovarian cyst , 3 cases of cystic teratoma. A variety of cystic lesions have their own specific location and CT features of the performance. Conclusion CT is an important imaging method for the localization and qualitative diagnosis of cystic lesions in infants and children.