JIN Rui juan,SUN Duo cheng,XU Lin,et al.Analysis the imaging features of cervical occupying lesions in children[J].Journal of Clinical Pediatric Surgery,2013,12(03):221-223.[doi:10.3969/j.issn.1671—6353.2013.03.018]
儿童颈部占位性病变的影像学分析
- Title:
- Analysis the imaging features of cervical occupying lesions in children
- 摘要:
- 目的探讨儿童颈部占位性病变的影像学特征及鉴别诊断。方法回顾性分析本院73例经手术及病理检查证实的颈部占位性病变患儿影像学资料。CT扫描采用西门子128层Blance螺旋CT机，GE Signa Ovation EXCITE 0.35T开放式永磁型磁共振成像仪。结果73例患儿中，先天性病变39例，罕见病种为异位胶质结节、异位甲状腺、异位胸腺；肿瘤病变16例，少见病种为神经母细胞瘤、副神经节瘤；感染性病变18例。结论儿童颈部占位性病变疾病谱与成人明显不同，结合胚胎、解剖、临床及影像学表现分析，可以明显提高诊断准确率。
- Abstract:
- Objetive To investigate the imaging features and differential diagnosis about cervical occupying lesions in the child.MethodsThe Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) imaged 73 children in our hospital with cervical occupying lesions were retrospectively studied， all the patients have confirmed by pathologically. Images were got by CT scans using Siemens 128slice of Blance spiral CT and GE Signa Ovation EXCITE 0.35T open permanent magnet magnetic resonance imaging.Results39 cases were congenital cervical lesions， the rare disease was neuroglial heterotopias， aberrant thyroid and thymus heterotopias;The rare diseases was neuroblastoma and chromaffin tumor in the 16 tumorous lesions;The other 18 cases were infection lesions.ConclusionSpectrum of occupying lesions in neck of the Child and adults are significantly different. Combining embryology，anatomy， clinical and imaging findings can significantly improve the diagnostic accuracy.
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