蝶鞍分区联合影像征象对鞍区占位性病变的诊断价值

doi:DOI:10.12117/jccmi.2019.04.002

摘要
图/表
参考文献
相关文章 (15)

全文: PDF (0 KB) HTML (1 KB)
输出: BibTeX | EndNote (RIS)

摘要目的：探讨蝶鞍分区及影像（CT、MRI）征象对鞍区良、恶性占位性病变的鉴别诊断价值。方法：回顾性分析151例经手术及病理证实的鞍区占位性病变患者的资料，按鞍内、鞍上、鞍旁及混合区进行分区讨论，并对其影像征象进行统计分析，探讨蝶鞍分区及影像征象对鞍区占位性病变的鉴别诊断价值。结果：①分区价值：151例鞍区占位性病变中，良性（75%，113/151）明显多于恶性（25%，38/151），鞍内、鞍上、鞍旁及混合区各22、25、42、62例；鞍区良、恶性占位总体在各区域分布间差异具有统计学意义（χ2=6.670，P=0.036＜0.05），鞍内、鞍上、鞍旁占位构成比最高的分别为垂体瘤、颅咽管瘤及脑膜瘤；病灶在累及单区及混合区间差异具有显著统计学意义（χ2=10.246，P=0.001＜0.01）；113例良性占位中，病灶累及单区（66%，75/113）明显多于混合区（34%，38/113），38例恶性占位中，病灶累及混合区（63%，24/38）明显多于单区（37%，14/38）。②影像征象：鞍区良、恶性占位性病变在部位、大小、形态、边界、骨质破坏间差异具有统计学意义；在年龄、性别、肿瘤性质、钙化、垂体是否存在、颈内动脉及海绵窦是否受侵犯或包绕间差异不具有统计学意义。结论：蝶鞍区占位性病变的分布及影像征象有一定的特点，对鞍区良、恶性占位性病变的定位、定性具有较高的鉴别诊断价值。

	服务

	把本文推荐给朋友
	加入我的书架
	加入引用管理器
	E-mail Alert
	RSS
	作者相关文章
	赵捷
	刘勇
	宋震宇

关键词 ：脑肿瘤, 体层摄影术, 螺旋计算机, 磁共振成像

Abstract：Objective: To investigate the value of division of sella region and imaging features(CT, MRI) in the differential diagnosis of benign and malignant sellar space-occupying lesions. Methods: A retrospective analysis was made of 151 cases of sellar space-occupying lesions confirmed by surgery and pathology. The imaging features of lesions in the intrasellar, suprasellar, parasellar and mixed areas were analyzed statistically. The value of division of sella region and imaging features in the differential diagnosis of the sellar space-occupying lesions was discussed. Results: The partition value: Among 151 cases of sellar lesions, benign lesions(75%, 113/151) were significantly higher than malignant lesions(25%, 38/151), 22, 25, 42 and 62 cases in intrasellar, suprasellar, parasellar and mix regions respectively. There were significant differences in the distribution of benign and malignant lesions in sellar region(χ2=6.670, P=0.036<0.05), the highest proportion of intrasellar, suprasellar and parasellar were pituitary adenoma, craniopharyngioma and meningioma, the difference of lesions involving single and mixed region was statistically significant(χ2=10.246, P=0.001<0.01), lesions involving only a single zone(66%, 75/113) were significantly more than the mixed zone(34%, 38/113) in 113 benign cases, the lesions involving the mixed area(63%, 24/38) were significantly more than those in the single region(37%, 14/38) in 38 cases of malignant lesions. The imaging features: benign and malignant lesions had statistical significance differences in location, size, shape, boundary and bone destruction. There was no significant differences in age, sex, tumor characteristic, calcification, presence of pituitary, internal carotid artery and cavernous sinus invasion or wrapping. Conclusion: The distribution and imaging features of the sellar region space-occupying lesions have certain characteristics, which is of high value in the differential diagnosis of the sellar region space-occupying lesions.

Key words： Brain neoplasms Tomography, spiral computed Magnetic resonance imaging

收稿日期: 2018-04-02

PACS:	Ｒ739.41
	Ｒ814.42
	Ｒ445.2

通讯作者: 刘勇，西南医科大学附属中医医院磁共振室，646000。

作者简介: 赵捷（1992-），男，四川宜宾人，医师。

引用本文:

赵捷，刘勇，宋震宇. 蝶鞍分区联合影像征象对鞍区占位性病变的诊断价值[J]. 中国临床医学影像杂志, 2019, 30(4): 234-237.
ZHAO Jie, LIU Yong, SONG Zhen-yu. Diagnostic value of division of sellar region combined with imaging feature in sellar space-occupying lesions. JOURNAL OF CHINA MEDICAL IMAGING, 2019, 30(4): 234-237.

链接本文:

http://www.jccmi.com.cn/CN/DOI:10.12117/jccmi.2019.04.002 或 http://www.jccmi.com.cn/CN/Y2019/V30/I4/234

[1]Rennert J, Doerfler A. Imaging of sellar and parasellar lesions[J]. Clin Neurol Neurosurg, 2007, 109(2): 111-124. [2]李坚，姚振威，曹代荣. 鞍旁肿瘤的MR诊断及鉴别诊断[J]. 中国医学计算机成像杂志，2009，15（4）：302-308. [3]Shields R, Mangla R, Almast J, et al. Magnetic resonance imaging of sellar and juxtasellar abnormalities in the paediatric population: an imaging review[J]. Insights Imaging, 2015, 6(2): 241-260. [4]黄丙仓，黄谋清，耿道颖. 鞍区病变MRI诊断[J]. 中国医学计算机成像杂志，2009，15（3）：209-214. [5]罗雪松，朱江. 鞍区肿瘤的MRI诊断探讨[J]. 四川医学，2013，34（5）：744-746. [6]Yin Y, Tong D, Yuan TT, et al. Role of magnetic resonance imaging in the diagnosis of lesions in the sellar region[J]. Zhongguo Yi Xue Ke Xue Yuan Xue Bao, 2012, 34(5): 492-496. [7]赵瑞华，黄立雪，吴俊峰，等. CT和MRI诊断颅内鞍区肿瘤的价值对比研究[J]. 中国CT和MRI杂志，2017，15（4）：10-13. [8]杨振峰，王立刚. 鞍区肿瘤的MRI蝶鞍分区及其诊断价值[J]. 现代医药卫生，2017，33（14）：2163-2165. [9]刘海平，胡海箐，黄玉书，等. 鞍上区实性肿瘤CT和MRI鉴别诊断[J]. 临床放射学杂志，2017，36（5）：615-618. [10]鱼博浪，张明，孙静，等. 鞍内病变的MR诊断[J]. 实用放射学杂志，2004，20（7）：580-582. [11]鱼博浪，王斐，孙静，等. 鞍上病变的MR诊断[J]. 实用放射学杂志，2004，20（7）：583-585. [12]傅迎霞，郭莉莉，柏根基. 磁共振成像对侵袭性垂体瘤的诊断价值[J]. 临床放射学杂志，2014，33（1）：15-18. [13]刘长林，周辉，洪汛宁. CT、MRI诊断鞍区囊性病变[J]. 中国医学影像技术，2017，33（11）：1636-1640. [14]邓利猛，廖伟华，王小宜，等. 颅底脊索瘤的CT、MRI分析[J]. 医学影像学杂志，2010，20（5）：624-626. [15]张体江，张国明，朱克文，等. 海绵窦综合征影像诊断[J]. 实用放射学杂志，2008，24（4）：571-573.