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作者回顾分析了1991年5月到1996年8月经手术证实的胃肠道21例平滑肌瘤和24例平滑肌肉瘤。病人年龄18～75岁,男21例,女24例。病变位于胃23例(胃底13例,胃体8例,胃窦2例),食管3例,十二指肠7例,空肠9例,回肠2例,直肠1例。CT检查采用平扫及静脉内团注优维显100ml,层厚及间隔均采用10mm。每例在知道病理结果之前,由两位放射科医生分析图像。内容包括病变大小、轮廓、强化类型、系膜脂肪浸润状况、病变内钙化,溃疡以及局部淋巴结转移、周围结构直接受侵、
The authors retrospectively analyzed 21 cases of gastrointestinal tract leiomyoma and 24 cases of leiomyosarcoma that were confirmed surgically from May 1991 to August 1996. The patient’s age ranged from 18 to 75 years, with 21 males and 24 females. The lesions were located in 23 cases of stomach (13 cases of fundus, 8 cases of gastric body, 2 cases of gastric antrum), 3 cases of esophagus, 7 cases of duodenum, 9 cases of jejunum, 2 cases of ileum, and 1 case of rectum. CT scans were performed using a plain scan and intravenous bolus injection of 100 ml. The thickness and interval were 10 mm. Each case was analyzed by two radiologists before the pathology was known. Including the lesion size, contour, type of reinforcement, mesangial fat infiltration, intra-lesional calcification, ulceration, local lymph node metastasis, direct invasion of surrounding structures,