CAJ | 학술논문

目的：探讨多层螺旋CT（MSCT）诊断肠道淋巴瘤价值。方法回顾性分析经手术病理证实的8例肠道淋巴瘤的多层螺旋CT表现。全部病例均作平扫及增强双期扫描，并做多平面重建后处理。结果该组病例来源于十二指肠1例，小肠4例，结肠3例，平扫病灶密度较均匀，增强后出现轻至中度强化，5例出现不同程度肠梗阻征象，但未出现肠管完全梗阻，肠管壁增厚明显，厚度约1.8~5cm，5例增厚的肠管周围可见多发增大的淋巴结。结论肠道淋巴瘤的影像学表现有一定特征，肠壁增厚，很少向周围直接浸润，肠壁周围增大淋巴结常见，轻度至中度强化，结合多平面重建，螺旋CT肠道淋巴瘤定位定性有重要的诊断价值。
목적：탐토다층라선CT（MSCT）진단장도림파류개치。방법회고성분석경수술병리증실적8례장도림파류적다층라선CT표현。전부병례균작평소급증강쌍기소묘，병주다평면중건후처리。결과해조병례래원우십이지장1례，소장4례，결장3례，평소병조밀도교균균，증강후출현경지중도강화，5례출현불동정도장경조정상，단미출현장관완전경조，장관벽증후명현，후도약1.8~5cm，5례증후적장관주위가견다발증대적림파결。결론장도림파류적영상학표현유일정특정，장벽증후，흔소향주위직접침윤，장벽주위증대림파결상견，경도지중도강화，결합다평면중건，라선CT장도림파류정위정성유중요적진단개치。
Objective To investigate the diagnostic value of multi-slice spiral CT(MSCT) for intestinal lymphoma. Methods Multi-slice CT performance of 8 patients with intestinal lymphoma confirmed by surgical pathology was analyzed retrospectively.All the patients received plain scan,enhanced dual-phase scan and multi-planar reconstruction aftertreatment. Results This group of cases included 1 case of duodenum,4 cases of small intestine and 3 cases of colon.The plain scan found uniform lesion density and the enhanced scan found mild to moderate enhancement.Five patients had different degrees of intestinal obstruction,but no complete intestinal tube obstruction occurred.The intestinal wall thickened obviously and the thickness was about 1.8-5cm.Multiple enlarged lymph nodes were observed in the 5 cases of thickened intestinal tubes. Conclusion The imaging performance of intestinal lymphoma has certain features,thickened intestinal walls, scarce direct periphery invasion,commonly seen enlarged lymph nodes around the intestinal walls,mild to moderate enhancement. Combining multi-planar reconstruction,spiral CT has important diagnosis value for locating and determining the nature of intestinal lymphoma.