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objective to analyze the ct appearance of thyroid carcinoma and the differential diagnosis of various thyroid disease.methods 83 cases of thyroid carcinoma and 119 cases of various benign disease with surgical and pathologically proved were analyzed retrospectively.results the ct findings of 83 cases of thyroid carcinoma include:ill defined nodules boundary (n=62),irregular necrosis(n=59),cystic(n=23),"peninsula" enhancing tubercles around the tumour(n=25),"mastoid" tubercles around the tumour(n=11),calcification(n=55) including large scale(n=27) and local(n=28),trachea invasion(n=15),neck or supraclavicular lymph node metastasis(n=27),the accurate of ct to differentia benignancy from malignancy on thyroid disease was 93.6%(189/202).conclusions "peninsula" enhancing tubercles was the characteristic sing of thyroid carcinoma,"mastoid" enhancing tubercles or large scale calcification was the affirmative sign,the ct signs was vary useful to differentiating thyroid disease.
摘 要]目的:分析甲状腺癌的ct表现及鉴别诊断要点。方法:回顾性分析经手术病理证实的83例甲状腺癌和119例甲状腺良性病变的ct表现,归纳总结不同病变的ct特征。结果:83例甲状腺癌中:边界不清62例,不规则坏死59例,囊性变23例,出现"半岛状"强化结节25例,"乳头状"强化结节11例,钙化55例(其中弥漫性钙化27例、局灶钙化28例),侵犯气管15例,颈部或锁骨上淋巴结肿大27例,ct对甲状腺病变的良恶性鉴别诊断符合率93.6%(189/202)。结论:"半岛状"强化结节是甲状腺癌的特征性表现,"乳头状"强化结节及弥漫性钙化可做为甲状腺癌的肯定性征象,掌握各种甲状腺病变的ct表现特点,对病变的定性诊断及鉴别诊断具有重要意义。
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Materials and Methods:236 pathology-confirmed breast lesions(155 malignanty,81 benignancy) and 221 disease-free contralateral breast tissues were examined using EPI-DWIb values=0,1000 s/mm~2TR/TE=8400ms/93.8ms; FOV=30×30cm;matrix=128×128;ASSET=2,slice thickness=4mm.DCE-MR imaging was also performed for accurate location of the lesion using VIBRANT sequence.The mean ADC values of malignant and benign lesions and the disease-flee contralateral breast tissues were calculated from the ADC map for each patient.One-way analysis of variance was applied to compare the mean ADCs of malignant lesions with benign lesions and disease-flee contralateral breast tissues.The threshold ADC value for malignant lesion was determined using a receiver operating characteristic(ROC curve analysis.Each lesion was classified into two major types:mass and non-mass lesion.The diagnostic performance of DWI was compared in breast mass and non-mass lesions.Results:155 malignant and 81 benign lesions were confirmed in 236 lesions.
材料与方法:搜集术前行乳腺MR检查并经穿刺或手术病理证实的236例乳腺病变,以对侧正常乳腺腺体作为正常对照,采用横轴位的平面回波-扩散加权成像序列,TR=8400ms,TE=93.8ms,层厚=4mm,激励次数=2:视野=30×30cm,矩阵=128×128,ASSET=2,b值=0和1000s/mm~2;参考动态增强图像准确定位,测量病变区和对侧正常乳腺腺体的ADC值,应用t检验比较良、恶性病变及正常腺体ADC值的差异,采用接收者工作特征曲线(receiver operating characteristic curve,ROC)确定良恶性病变的ADC界值;根据BI-RADS MRI将乳腺病变按照形态学表现分为肿块性病变和非肿块性病变两组,比较ADC值在肿块和非肿块性病变中定性诊断的效能。
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Sleep is restless and spiritual dispirited in 2 cases (3.6%), the chest X-ray normal position piece examination lungs tuberculosis pathological change in 52 cases (92.9%), the normal position piece examination does not have the obvious tuberculosis pathological change, but to lean the posit
睡眠不安、精神不振2例(占3.6%)胸部X线正位片检查肺部结核病变52例(占92.9%),正位片检查无明显结核病变而侧位片及胸部CT显示肺内及肺门淋巴结结核病变4例(占7.1%),结核菌素试验强阳性27例(占48.2%),痰查结核菌阳性3例(占5.4%),淋巴结活检 5例(占8.9%)。26例治疗9个月后病变完全吸收,29例6个月后病变完全吸收, 1例因药物肝炎不能顺利完成治疗。
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Sleep is restless and spiritual dispirited in 2 cases (3.6%), the chest X-ray normal position piece examination lungs tuberculosis pathological change in 52 cases (92.9%), the normal position piece examination does not have the obvious tuberculosis pathological change, but to lean the position piece and in the chest CT demonstration lung and the lung hilus lymph node tuberculosis pathological change 4 cases (7.1%), the PPD test was strong masculine 27 cases (48.2%), the phlegm looks for the tuberculosis bacterium masculine gender 3cases (5.4%), the lymph node biopsy 5 cases (8.9%). 26 cases treated for 9 months the pathological change to absorb completely, 29 cases 6 months the pathological change absorbs completely. Because the medicine liver is poisoned 1 cases cannot smoothly complete the treatment.
睡眠不安、精神不振2例(占3.6%)胸部X线正位片检查肺部结核病变52例(占92.9%),正位片检查无明显结核病变而侧位片及胸部CT显示肺内及肺门淋巴结结核病变4例(占7.1%),结核菌素试验强阳性27例(占48.2%),痰查结核菌阳性3例(占5.4%),淋巴结活检 5例(占8.9%)。26例治疗9个月后病变完全吸收,29例6个月后病变完全吸收, 1例因药物肝炎不能顺利完成治疗。
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Results In all these cases, there are 83 cases origin from mucous membrane which include inflammation, tumor and anabrosis; 24 cases origin below mucous membrane which include interstitialoma, lymphoma and scleroderma;38 cases mainly changed in the shape, structure and position of organs which include hiatus hernia, Oblique inguinal hernia, diverticulum, malrotation of intestine and megacolon; 29 cases mainly changed in the power and function of organs which include functional disorder of esophagus, mesentery-compressed syndrome funtional disorder of small intestine and irritable colon; 17 cases' performance caused by the factor outside intestinal canal which include mesentery shift, stomach shift and small intestine shift, and other cases which include fistula between esophagus and mediastinum, rectovaginal fistula, foreign body in esophagus and small intestine ascariasis.
结果:197例患者中,源于黏膜的病变83例,源于黏膜下的病变24例(包括间质瘤、淋巴瘤、硬皮病),以器官形态、结构、位置改变为主的病变38例(包括食管裂孔疝、腹股沟斜疝、憩室、肠旋转不良、巨结肠),以器官动力、功能改变为主的病变29例(包括食管功能紊乱、肠系膜压迫综合征、小肠功能紊乱、结肠过敏),因管腔外因素的影响而引起的改变17例(包括食管移位、胃移位、小肠移位),其他病变6例(包括食管纵隔瘘、直肠阴道瘘、食管异物、小肠蛔虫症)。
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Results: 43 cystic renal occupying lesions were found in 37 patients, According to ultrasound diagnostic criteria, l3 were hypoechogenic, l7 were isoechongnic and l3 were hyperechogenic. Category of these lesions under CT examination was based on the Bosniak system. 26 lesions of class Ⅱwere found in 24 patients, 12 lesions of class Ⅲin 8 patients and 5 lesions of class Ⅳ in 5 patients . Open operation was done on 18 cases including 4 cases of renal carcinoma.
结果:37例复杂性囊性肾脏,发现肾脏占位病变43个。B超以低回声为主病变13个,等回声病变为主17个,高回声病变为主13个;CT诊断Ⅱ类囊性病变24例(26个),Ⅲ类囊性病变8例(12个病变),Ⅳ类囊性病变5例(5个病变);手术18例,其中4例为肾脏恶性肿瘤。
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Objective To analyze the CT and MRI manifestations of oral carcinoma,and to evaluate the value of imaging technologies in the diagnosis of oral carcinoma,thus to explore the most reasonable imaging method Methods 46 cases with oral carcinoma,proved by surgery and pathology (2 lip tumors,8 carcinomas of the gingival ridge,5 carcinomas of the buccal mucosa,24 tongue carcinomas,5 carcinomas of the floor of the mouth,2 tumors of the hard palate),were analysed retrospectively32 cases were examined with CT and 14 cases with MRIImaging presentations were compared with surgery and pathology Results Of the 46 cases with oral carcinoma,22 were ulcerative lesion of infiltrative growth,24 were masslike lesion of extruded trowthOf the 32 cases examined with CT scan,27 were detected,5 were missed,the 4 missed cases were confirmed to be superficial ulcers by surgery and pathologyOf the 10 cases with bone destruction examined with CT scan,8 were manifested,2 were missedAnd of the 14 cases with MRI scan,all 14 were detected Conclusion CT and MRI scan are valuable for diagnosis of oral carcinomasThey can manifest the morphology and size of primary tumor,contiguous structures,bone invasion and cervical lymph node metastasisMRI is the optimal imaging method for superficial ulcerative lesion of infiltratibe growth
徐 锋,罗德红,唐威,欧阳汉,周纯武目的分析口腔癌的CT及MRI表现,评价影像检查在口腔癌诊断中的应用价值,探索合理的影像学检查方法。方法回顾性分析经手术及病理证实的口腔癌46例(唇癌2例,牙龈癌8例,颊黏膜癌5例,舌癌24例,口底癌5例,硬腭癌2例),其中32例行CT扫描,14例行MRI扫描,将影像表现与手术所见及病理结果进行对照分析。结果 46例口腔癌中,呈浸润性生长的溃疡型病变22例,外生性生长的肿物型病变24例。CT扫描32例,明确显示病变27例,遗漏病变5例,其中4例为表浅溃疡型病变。CT扫描病例中,10例有骨质侵犯,CT扫描准确评价8例,遗漏2例。MRI扫描14例,均准确评价肿瘤及其与周围结构的关系。结论 CT、MRI对口腔癌原发肿瘤的形态、大小、周围结构侵犯、颈部淋巴结转移的评价有重要价值。对于较小及呈浸润性生长的表浅溃疡型肿瘤,CT扫描尤其是CT平扫难以准确显示,应首选MRI。
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In addition, fractures were more common with ostial location, longer lesions, angulation, proximal tortuosity, extensive vessel calcification and total occlusion.
此外,支架断裂在开口病变、长病变、成角病变近段、扭曲病变、广泛钙化病变以及完全闭塞病变更为常见。
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Off-label use was defined as use in restenotic lesions, lesions in a bypass graft, left main coronary artery disease, or ostial, bifurcated, or totally occluded lesions, as well as use in patients with a reference-vessel diameter of less than 2.5 mm or greater than 3.75 mm or a lesion length of more than 30 mm.
非适应症应用定义为支架应用于再狭窄病变、旁路移植血管病变、左主干病变、开口病变、分叉病变、完全性闭塞病变以及支架应用于靶血管参考直径小于2.5mm或大于3.75mm或病变长度大于30mm的患者。
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Results The main CT finds were as follow:①Bilaterial margins of the lesion were perpendicular to pleura with a straight cut edge presenting a square sign;②The density at the central area,some-times presenting a halo-like apperance;③Irre-gular or spiculate margins with illdefined outline could be seen;④There was extensive pleural thickening involving interlobar fissure as a response to inflamation;⑤There were small patches of slightly high density and intensified vascular markings surrounding the lesions;⑥After short-term anti-inflam-matory therrapy,most lesions were obviously reduced in size.
结果 26例球形肺炎的主要CT表现为:①邻近胸膜病变两侧缘垂直于胸膜呈刀切样平直边缘,病变呈方形;②病变中央密度高,边缘密度低,显示晕圈状改变;③病变边缘可不规则,有锯齿状改变且较模糊;④周围胸膜反应显著,有较广泛增厚;⑤病变周围血管纹理增多、增粗、扭曲,但无僵直和受牵拉;⑥抗炎治疗后病变明显吸收缩小。
- 更多网络解释与病变相关的网络解释 [注:此内容来源于网络,仅供参考]
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DR:糖尿病视网膜病变
1.糖尿病、高血压:按世界卫生组织(WHO)标准诊断. 肥胖以BMI≥25为标准. 影响因素 糖尿病肾病(DN) 糖尿病视网膜病变(DR) 糖尿病外周神经病变(DPN) 糖尿病自主神经病变(DAN)
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diabetic myelopathy:糖尿病脊髓病变
糖尿病微血管病变 diabetic microangiopathy | 糖尿病脊髓病变 diabetic myelopathy | 糖尿病肌病变 diabetic myopathy
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precancerous lesion:癌前病变
1.癌前病变(precancerous lesion)癌前病变是指某些具有癌变潜在可能性的良性病变,如长期存在即有可能转变为癌. 早期发现与及时治愈癌前病变,对肿瘤的预防具有重要的实际意义. 临床上常见的癌前病变或疾病有以下几种:①粘膜白斑(leukoplakia)伴上皮非典型增生;
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precancerous lesion:癌前期病变
颅内病变:Intracranial lesion | 癌前期病变:Precancerous Lesion | 病变形态:lesion type
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white matter lesions:脑白质病变
胃癌前病变:gastric precancerous lesions | 脑白质病变:White matter lesions | 口腔癌前病变:Oral precancerous lesions
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anterior ischemic optic neuropathy, AION:前部缺血性视神经病变
ischemic optic neuropathy 缺血性视神经病变 | anterior ischemic optic neuropathy, AION 前部缺血性视神经病变 | posterior ischemic optic neuropathy, PION 后部缺血性视神经病变
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anterior ischemic optic neuropathy, AION:前部缺血性视神经病变,又称"缺血性视[神经]乳头病变
ischemic optic neuropathy 缺血性... | anterior ischemic optic neuropathy, AION 前部缺血性视神经病变,又称"缺血性视[神经]乳头病变(ischemic papillopathy)". | posterior ischemic optic neuropathy, PION 后部...
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idiopathic obliterative perifoveolar retinal vasculopathy:特发性闭塞性中心凹周围视网膜血管病变
retinal vasculopathy 视网膜血管病变 | idiopathic obliterative perifoveolar retinal vasculopathy 特发性闭塞性中心凹周围视网膜血管病变 | traumatic retinal vasculopathy 外伤性视网膜血管病变
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idiopathic obliterative perifoveolar retinal vasculopathy:特发性闭塞性中心凹四周视网膜血管病变
retinal vasculopathy 视网膜血管病变 | idiopathic obliterative perifoveolar retinal vasculopathy 特发性闭塞性中心凹四周视网膜血管病变 | traumatic retinal vasculopathy 内伤性视网膜血管病变
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polycythemic retinopathy:红细胞增多性视网膜病变
sickle cell retinopathy 镰状红细胞性视网膜病变 | polycythemic retinopathy 红细胞增多性视网膜病变 | retinopathy of pregnancy and hypertension syndrome 妊娠高血压综合征[性]视网膜病变