中国基层医药
中國基層醫藥
중국기층의약
CHINESE JOURNAL OF PRIMARY MEDICINE AND PHARMACY
2011年
9期
1188-1189
,共2页
严洋%潘小红%邹云峰%王鸿林%姚伟根
嚴洋%潘小紅%鄒雲峰%王鴻林%姚偉根
엄양%반소홍%추운봉%왕홍림%요위근
腹水%体层摄影术,X线计算机%诊断
腹水%體層攝影術,X線計算機%診斷
복수%체층섭영술,X선계산궤%진단
Ascites%Tomography,X-ray computed%Diagnosis
目的 探讨多排螺旋CT(MSCT)在不明原因腹水病因诊断中的价值.方法 回顾分析113例不明原因腹水患者MSCT表现、临床资料及随访结果,总结MSCT特征.结果 MSCT表现:大量腹水50例(44.3%),中等量腹水10例(8.8%),少量腹水53例(46.9%);腹膜改变51例(45.1%);肠系膜改变44例(38.9%);大网膜改变20例(17.7%);腹腔、腹膜后淋巴结肿大67例(59.3%).结论 恶性肿瘤是腹水原因待查患者最常见原因,MSCT有助于鉴别肿瘤与非肿瘤性病变,在腹水病因诊断中有较大价值.
目的 探討多排螺鏇CT(MSCT)在不明原因腹水病因診斷中的價值.方法 迴顧分析113例不明原因腹水患者MSCT錶現、臨床資料及隨訪結果,總結MSCT特徵.結果 MSCT錶現:大量腹水50例(44.3%),中等量腹水10例(8.8%),少量腹水53例(46.9%);腹膜改變51例(45.1%);腸繫膜改變44例(38.9%);大網膜改變20例(17.7%);腹腔、腹膜後淋巴結腫大67例(59.3%).結論 噁性腫瘤是腹水原因待查患者最常見原因,MSCT有助于鑒彆腫瘤與非腫瘤性病變,在腹水病因診斷中有較大價值.
목적 탐토다배라선CT(MSCT)재불명원인복수병인진단중적개치.방법 회고분석113례불명원인복수환자MSCT표현、림상자료급수방결과,총결MSCT특정.결과 MSCT표현:대량복수50례(44.3%),중등량복수10례(8.8%),소량복수53례(46.9%);복막개변51례(45.1%);장계막개변44례(38.9%);대망막개변20례(17.7%);복강、복막후림파결종대67례(59.3%).결론 악성종류시복수원인대사환자최상견원인,MSCT유조우감별종류여비종류성병변,재복수병인진단중유교대개치.
Objective To evaluate the clinical value of MSCT in the diagnosis of unexplained aseites.Methods 113 patients with unexplained ascites were retrospectively reviewed by CT、clinical data and continous observation.Results Large ascites in 50 cases(44.3%),moderate amount aseites in 10 cases(8.8%),small ascites in 53 cases(46.9%);Parietal peritoneum changed in 51 cases(45.1%);Mesentery changed in 44 cases(38.9%);Grerter omentum changed in 20 eases(17.7%);Enlargement of lymph nodes in 67 cases(59.3%).Conclusion Malignant tumor was the most common cause of unexplained ascites.MSCT could help in identifying tumors and the tumor lesion,forecast malignant ascites,and had great value in etiology and diagnosis of ascites.