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目的分析肾上腺结核 CT 表现,对其影像表现进行探讨。方法本院4例、文献报道15例共19例,其中男12例,女7例,年龄19～75岁。均行 CT 扫描。所有病例均经临床诊断,其中1例 CT 引导下穿刺病理证实。结果 5例处于急性期肾上腺结核 CT 表现为密度不均的、扁圆形的腺体肿胀,增强扫描示多个无强化坏死低密度区被尚正常明显强化的线样肾上腺组织所分隔,边缘清楚,但略不规则。另外14例慢性肾上腺结核表现为腺体萎缩及钙化。结论当全身多脏器结核,同时发现肾上腺上述影像变化,则要考虑肾上腺结核的诊断。
Objective To analyze the CT findings of adrenal tuberculosis and discuss its imaging performance. Methods 4 cases in our hospital, 15 cases reported in the literature a total of 19 cases, including 12 males and 7 females, aged 19 to 75 years. All underwent CT scan. All cases were clinically diagnosed, including 1 case of CT-guided biopsy confirmed. Results 5 cases of acute adrenal tuberculosis CT showed uneven density, flattened gland swollen, enhanced scan showed multiple non-intensive necrosis of low-density area is still significantly enhanced by normal linear adrenal tissue separated by a clear edge , But slightly irregular. Another 14 cases of chronic adrenal tuberculosis showed glandular atrophy and calcification. Conclusion When the whole body more organs tuberculosis, and found that the above adrenal changes in the image, you have to consider the diagnosis of adrenal tuberculosis.