You Position: Home > Paper
Adrenal tuberculosis: contrast-enhanced CT features with clinical correlation
( views:442, downloads:196 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 10
- DOI:
- 10.3760/j.issn:1005-1201.2006.10.002
- Key Word:
- 肾上腺;结核;体层摄影术,X线计算机
Abstract： 目的 探讨肾上腺结核的增强CT表现特征与临床病程的相关性,以提高该病的影像诊断水平.方法 经临床证实的肾上腺结核30例,在CT强化图像上观察肾上腺的位置、大小、形态、密度以及强化特征,并结合临床和病理资料加以分析,采用Cochran Armitage趋势检验进行统计分析.结果 肾上腺结核累及双侧共27例(90.0%),单侧3例(10.0%).肾上腺肿块样增大13例,轻度或中度增大17例,轮廓仍保持完整.肾上腺增大密度均匀2例(6.7%),不均匀增大28例(93.3%).周边强化16例(53.3%),钙化17例(56.7%).经抗结核治疗后的6例复查CT示,5例双侧增大的肾上腺体积缩小或恢复正常,其内低密度消失,新出现点状钙化2例.钙化多见于临床后期,17例钙化中,病程＞12个月者10例,存在随病程增长而递增的分布趋势(χ2=7.47,P＜0.05),而周边强化则多见于临床早期,16例中有11例临床病程≤12个月,存在随病程增长而递减的分布趋势(χ2=6.60,P＜0.05).结论 肾上腺结核CT具有特征性表现,与临床病程存在一定的相关性,为临床治疗及疗效判断提供指导.
- [1]任小波,杨瑜,陆菁菁.肾上腺结核的CT诊断和分期[J].2002,(8).
- [2]J M, Robinet.Addison's disease.[J].1995,15.
- [3]A M, Rozenblit,A, Kim,J, Tuvia,etc.Adrenal histoplasmosis manifested as Addison's disease: unusual CT features with magnetic resonance imaging correlation.[J].2001,56(8).
- [4]Y X, Wang,C R, Chen,G X, He,etc.CT findings of adrenal glands in patients with tuberculous Addison's disease.[J].1998,81(5).
- [5]Joe BN,Fuangtharnthip P,Prasad SR,etc.Adrenal masses: CT characterization with histogram analysis method.[J].2003,228(3).
- [6]G E, Wilms,A L, Baert,E J, Kint,etc.Computed tomographic findings in bilateral adrenal tuberculosis.[J].1983,146.
- [7]C M, Villabona,M, Sahun,W, Ricart,etc.Tuberculous Addison's disease. Utility of CT in diagnosis and follow-up.[J].1993,17(3).
- [8]AC Ammini,R Gupta,C Mukopadhyay,etc.Computed tomography morphology of the adrenal glands of patients with Addison's disease[J].1996,40(1).
- [9]Tarvinder Bir Singh Buxi,Rakesh Bal Vohra,Sujatha,etc.CT in adrenal enlargement due to tuberculosis: A review of literature with five new cases[J].1992,16(2).
- [10]S. C.Efremidis,F.Harsoulis,S.Douma,etc.Adrenal insufficiency with enlarged adrenals[J].1996,21(2).
- [11]J L, Doppman,J R, Gill,A W, Nienhuis,etc.CT findings in Addison's disease.[J].1982,6.
- [12]Lockhart ME,Kenney PJ,Smith JK.Imaging of adrenal masses.[J].2002,41(2).