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目的探讨增强CT扫描在脑转移瘤诊断中的意义。方法60例脑转移瘤均行CT平扫及增强扫描,所有病例均经临床及病理证实。结果典型脑转移瘤21例,平扫即基本明确诊断。平扫表现不典型者39例:其中平扫为单发,强化表现为多发者15例;平扫及强化均表现为单发者4例;平扫仅表现为轻度水肿,强化后显示瘤体者12例;平扫无明显异常,强化后发现瘤体者8例。结论增强CT扫描在脑转移瘤的诊断及鉴别诊断中意义重大,应引起重视。
Objective To investigate the significance of enhanced CT in the diagnosis of brain metastases. Methods 60 cases of brain metastases underwent CT scan and enhanced scan, all cases were confirmed by clinical and pathological. The results of typical brain metastases in 21 cases, the plain that the basic clear diagnosis. 39 cases of atypical plain manifestations: one of the plain scan for the enhancement of multiple manifestations in 15 cases; plain scan and enhanced were single in 4 cases; plain scan showed only mild edema, enhanced showed tumor Body in 12 cases; plain no obvious abnormalities, enhanced tumor found in 8 cases. Conclusions Enhanced CT scan is of great significance in the diagnosis and differential diagnosis of brain metastases.