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分析了129例颅内肿瘤瘤周水肿的CT表现及其与肿瘤的大小、良恶性、囊性变、皮层破坏现象的关系。提出了瘤周水肿的CT分型,结果表明脑膜瘤以B1型水肿为主,转移瘤则以B2型常见,胶质瘤以B1型占优,B2型居次。脑膜瘤水肿很少向内囊部扩展,转移瘤水肿累及胼胝体及皮层不常见。作者认为,根据瘤周水肿的CT分型结合肿瘤水肿的各自特点,对脑膜瘤、胶质瘤及脑单发转移瘤的定性诊断有一定的帮助。
Analysis of 129 cases of intracranial tumors of the peritumoral CT findings and tumor size, benign and malignant, cystic degeneration, cortical destruction phenomenon. The CT classification of peritumoral edema was proposed. The results showed that type B1 edema was the main meningioma, type B2 was the most common type of meningioma, type B1 was dominant glioma, and type B2 was the second. Mesenteric edema rarely expands to the internal capsule, and metastases edema involving the corpus callosum and cortex is uncommon. The authors believe that according to the CT type of peritumoral edema combined with the characteristics of tumor edema, the qualitative diagnosis of meningioma, glioma and brain solitary metastases will help.