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目的探讨脾脉管瘤的多层螺旋CT表现、影像诊断及鉴别诊断。方法回顾性分析15例经手术病理证实的脾脉管瘤的临床及CT资料,对其CT表现进行总结归纳。结果 15例脉管瘤中血管瘤8例,淋巴管瘤2例,血管淋巴管瘤5例。血管瘤CT表现为向心性强化、轻度强化及延迟强化;淋巴管瘤表现为囊性不强化病灶或轻度强化结节影;血管淋巴管瘤表现为多发周边轻度强化结节影或囊性不强化病灶。结论脾脉管瘤临床症状不典型,CT可为该病的诊断和鉴别诊断提供重要依据。
Objective To investigate the multi-slice spiral CT findings, imaging diagnosis and differential diagnosis of splenic vascular tumors. Methods A retrospective analysis of 15 cases of pathologically proven splenic vascular tumor of the clinical and CT data to summarize the CT findings. Results 15 cases of hemangiomas in the hemangioma in 8 cases, 2 cases of lymphangioma, 5 cases of vascular lymphangioma. Hemangiomas CT showed centripetal enhancement, mild enhancement and delayed enhancement; lymphangioma showed cystic enhancement lesion or mild enhancement of nodules; vascular lymphangioma showed multiple peripheral mild enhanced nodules or cysts Sex is not enhanced lesions. Conclusion The clinical symptoms of splenic vascular tumor are not typical. CT can provide important evidence for the diagnosis and differential diagnosis of the disease.