[精品][经典]探讨CT诊断单发脑脓肿的影像学分析

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1、[经典]探讨CT诊断单发脑脓肿的影像学分析探讨CT诊断单发脑脓肿的影像学分析【摘要】目的分析34例脑脓肿患者脑部经CT增强扫描呈单发环状强化的病灶，并探讨其价值。方法对34例经手术及抗炎治疗证实的脑部病灶进行回顾性分析，讨论脑脓肿呈特异性的单发环状强化诊断及鉴别诊断。结果34例环形强化病灶中：其内低密度18例，等密度7例，混杂密度5例、且有钙化者4例；壁呈均匀强化者24例，壁有结节状强化6例，不规则强化4例；额叶12例，颖叶7例，顶叶6例，小脑半球3例，枕叶2例，脑深部3例;桥脑1例。脑脓肿22例、转移瘤8例、星形细胞瘤2例、陈旧血肿2例。结论CT对脑部单发呈环状强化

2、的脑脓肿诊断及鉴别诊断具有较高价值。❷【关键词】脑部单发呈环状强化病灶；计算机断层扫描；诊断及鉴别诊断DiscussestheCTdiagnosissingleshotbrainabscessthephantomanalysisLINXi-wen.DepartmentofRadiology,TheFirstAffiliatedHospitalofQiqihaermedicalcollege,Qiqihaer161042,China[Abstract]ObjectiveThegoalanalyzes34caseswithbrainsassumethesingleshot

3、ting-likestrengtheningaftertheCTenhancementthefocusofinfection,discussesCTtoassumetheting-likestrengthenedfocusofinfectiontothebrainabscesssingleshotthevalue・MethodsThemethodcarriesonthereviewanalysisto34casesafterthesurgeryandtheanti-inflammstiontreatmentconfirmationbrainfocusofinfecti

4、on,thediscussionbrainabscessassumesthespecificitysingleshotring-likestrengtheningtodiagnoseanddistinguishthediagnosis.Results34casesring-likestrengtheningfocusofinfection：Amongthemthelowdensitywere18cases,theequilibriumdensity7cases,thepromiscuousdensity5examples,alsohavethecalcificatio

5、n4examples;Thewallassumestheevenstrengthening24examples,thewallhastheknotnodulartostrengthen6examples,strengthens4casesnotregularly;Temporallobe12examples,nieleaf7cases,parietallobe6cases,cerebellarhemisphere3cases,occipitallobe2examples,braindepthportion3examples;Pons1example.Brainabsc

6、ess22examples,shiftlump8cases,startypecytoma2cases,obsoletehaematoma2cases.ConclusionCTassumesring-likestrengthenedtothebrainsingleshotthebrainabscessdiagnosisandthedistinctiondiagnosishasthehighvalue・❷[Keywords]Thebrainsingleshotassumestheting-likestrengthenedfocusofinfection；Thecomput

7、erfaultscans；Diagnosisanddistinctiondiagnosis探讨计算机断层扫描(CT)对脑部单发呈环状强化病灶的诊断及鉴别诊断的临床价值将34例的CT表现进行回顾性分析。报告如下。1临床资料1.1一般资料本组共34例患者，男24例，女10例，年龄18~75岁，平均41岁。1.2仪器与方法采用GE公司生产的4排螺旋CT,34例均采用CT平扫加增强扫描。造影剂采用非离了型的0NIPAQUE(欧乃派克),肘止中静脉团注。1.3CT表现平扫CT值20〜40IIU,增强CT值60^80IIU。环形强化34例中：壁呈均匀强化者24例