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目的探讨脾脏占位性病变的螺旋CT诊断及鉴别诊断。方法回顾性分析经病理或临床证实的19例脾脏占位性病变的螺旋CT资料,其中脾转移瘤6例,脾血管瘤5例,脾结核2例,脾恶性淋巴瘤2例,脾囊肿2例,脾淋巴管瘤1例,脾错构瘤1例。结果CT对脾脏肿瘤检出率高,对病变大小、形态、密度及脾周围组织器官的显示较其他影像学检查更准确。结论CT对脾脏占位性病变定性诊断有较高价值。
Objective To investigate the diagnosis and differential diagnosis of spleen occupying lesions by spiral CT. Methods A retrospective analysis of 19 cases of pathological or clinically confirmed spondylointestinal lesions by spiral CT data, of which 6 cases of splenic metastases, 5 cases of splenomegaly, spleen and tuberculosis in 2 cases, 2 cases of splenic malignant lymphoma, 2 cases of splenic cysts Cases, 1 cases of splenic lymphangioma, splenomegaly in 1 case. Results The detection rate of CT in spleen tumor was high, which showed the size, shape, density and tissues and organs around the spleen better than other imaging tests. Conclusion CT has a high value in the qualitative diagnosis of spleen occupying lesions.