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本文回顾性分析了60例经手术和病理证实的儿童脑瘤的临床和CT所见。CT诊断准确者50例,占83.3%。和成人脑瘤相比,儿童脑瘤以胶质瘤(41例,占68.3%)和胚胎残余组织肿瘤(16例,占26.7%)为常见,而脑膜瘤(2例)、听神经瘤(1例)较少见。本组未发现垂体腺瘤和转移瘤的病例。儿童脑瘤的好发部位是脑中线部位(35例,占58.3%),位于幕下者(33例,占55%)多于幕上(27例,占45%)。对CT的诊断价值和限度以及鉴别诊断等加以讨论。
This retrospective analysis of 60 cases of surgically and pathologically confirmed brain tumors in children with clinical and CT findings. Fifty cases of CT were diagnosed correctly, accounting for 83.3%. Compared with adult brain tumors, brain tumors in children are common in gliomas (41 cases, 68.3%) and embryonic tissue remnants (16 cases, 26.7%), while meningioma (2 cases), acoustic neuroma Example) Less common. This group did not find cases of pituitary adenoma and metastases. The incidence of brain tumors in children was mainly midline (35 cases, 58.3%). The infants (33 cases, 55%) were more likely than the infants (27 cases, 45%). The diagnostic value and limits of CT and differential diagnosis are discussed.