CAJ | 학술논문

目的分析肠系膜脂膜炎的多层螺旋CT特点,提高对本病的认识.方法回顾性分析30例肠系膜脂膜炎的临床及MSCT表现.17例行增强扫描,8例经组织病理学证实,22例按CT标准及临床综合诊断.回顾所有CT资料,分析病变的部位、密度、强化程度、结节的大小、形态、边缘.结果 30例主要累及小肠系膜,均有“肿块效应”,24例表现为小肠系膜的云雾状密度增高影,26例可见结节及“假包膜征”,21例可见“脂肪环征”.结论肠系膜脂膜炎的CT表现具有一定的特征性,结合临床资料对肠系膜脂膜炎的诊断有较大意义.
목적 분석장계막지막염적다층라선CT특점,제고대본병적인식.방법 회고성분석30례장계막지막염적림상급MSCT표현.17례행증강소묘,8례경조직병이학증실,22례안CT표준급림상종합진단.회고소유CT자료,분석병변적부위、밀도、강화정도、결절적대소、형태、변연.결과 30례주요루급소장계막,균유“종괴효응”,24례표현위소장계막적운무상밀도증고영,26례가견결절급“가포막정”,21례가견“지방배정”.결론 장계막지막염적CT표현구유일정적특정성,결합림상자료대장계막지막염적진단유교대의의.
Objective To analyze the characteristics of mesenteric panniculitis on multi-slice spiral CT (MSC T)examination and to enhance the awareness of this disease.Methods The clinical and CT image data were retrospectively analyzed in 30 patients with mesenteric panniculitis.17 patients received enhanced scans and 8 were histopathologically confirmed; and the remaining patients were diagnosed by CT examination and clinical manifestations.The location,intesity,enhancement level,and the size,shape and margin of lesions.Results The lesions mainly involved in the small bowel mesentery in all the 30 patients,presenting with "mass effect".A cloud shaped intensified intensity of the mesostenium was seen in 24 patients; nodules and "false capsule" sign were observed in 26 patients; and "fat ring" sign was seen in 21 patients.Couclusions The CT features of mesenteric panniculitis are relatively characteristic.CT scans combined with the clinical data is of significance in the diagnosis of pesenteric panniculitis.