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分析已经病理证实的28例腹腔淋巴瘤的磁共振表现,并与8例腹腔结核、24例淋巴转移瘤的MRI表现对照,以提高对本病的诊断、鉴别诊断和判断预后的能力。结果:淋巴瘤的MRI表现:(1)广泛分布的淋巴结肿大和T2信号异常升高。(2)肝脾肿大,尤其是脾明显肿大和T2信号升高。(3)脊柱T1信号普遍降低或局限降低。(4)胸水、腹水或骨骼破坏。结论:MRI表现对腹腔淋巴瘤的诊断和分期有一定意义,并有助于与腹腔淋巴结结核和转移瘤的鉴别
MRI findings of 28 cases with pathologically confirmed celiac lymphoma were analyzed and compared with those of 8 cases with celiac tuberculosis and 24 cases with lymphatic metastases to improve the diagnosis, differential diagnosis and prognosis of this disease. Results: MRI findings of lymphoma: (1) extensive lymphadenopathy and abnormally elevated T2 signal. (2) hepatosplenomegaly, especially the spleen was significantly enlarged and T2 signal increased. (3) Spinal T1 signal generally reduced or reduced. (4) pleural effusion, ascites or bone damage. Conclusion: The MRI findings have certain significance for the diagnosis and staging of celiac lymphoma, and are helpful for the identification of tuberculosis and metastases of abdominal lymph nodes