引用本文:解 玲.结节性硬化症39例CT及MRI影像学特点分析[J].中国临床新医学,2012,5(4):343-345.
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结节性硬化症39例CT及MRI影像学特点分析
解 玲
276017 山东,临沂罗庄中心医院CT室
摘要:
[摘要] 目的 探讨结节性硬化症(TS)的CT、MRI影像学特征表现及诊断价值。方法 回顾性分析39例经临床和手术确诊为TS患者的影像学资料,根据脑内病灶所处的位置以及合并脑内或其他脏器病变进行影像学分型。结果 Ⅰ型10例分布在室管膜下,Ⅱ型21例,除分布在室管膜下外,还分布在皮层、白质等部位,Ⅲ型8例合并其它脏器肿瘤。结论 CT、MRI表现是脑内TS确诊的主要依据,二者相互结合对明确诊断有重要意义;对TS进行影像学分型发现结节位置及合并症是TS预后的决定因素。
关键词:  结节性硬化  影像学表现  影像分型
DOI:10.3969/j.issn.1674-3806.2012.04.22
分类号:R 445
基金项目:
Imaging features of CT and MRI of tuberous sclerosis:Analysis of 39 cases
XIE Ling
Luozhuang Central Hospital of Linyi,Shandong 276017 ,China
Abstract:
[Abstract] Objective To investigate the imaging features of CT and MRI of tuberous sclerosis(TS),and evaluate the diagnostic value of CT and MRI for TS.Methods A retrospective study was conducted on 39 patients with TS who were diagnosed by the clinic and operation.The analyses were performed on the imaging patterns of TS on the basis of the position of the focus in brain and whether it merging with other or not.Results TypeⅠ (10 patients )TS were distributed under endyma.Type Ⅱ(21 patients):of them,TS distributed under endyma and under the cortx of brain,in white matter of brain,in brain parechyma.TypeⅢ(8 patients):merging with other organs.Conclusion Imaging findings of CT and MRI are the major basis to diagnose TS.CT combined with MRI have important significance in the diagnosis of TS.It is necessary to pose the imaging patterns of TS.The position of the focus and complications are the determinants of the prognosis of patients with TS.
Key words:  Tuberous sclerosis  Imaging findings  Imaging patterns