中华消化外科杂志
中華消化外科雜誌
중화소화외과잡지
CHINESE JOURNAL OF DIGESTIVE SURGERY
2015年
1期
78-81
,共4页
肠脂垂炎%原发性%多平面重建%体层摄影术,X线计算机
腸脂垂炎%原髮性%多平麵重建%體層攝影術,X線計算機
장지수염%원발성%다평면중건%체층섭영술,X선계산궤
Epiploic appendagitis%Primary%Multiplanar reconstruction%Tomography,X-ray computed
目的 总结急性原发性肠脂垂炎的多排螺旋CT检查特征,探讨其临床价值.方法 回顾性分析2009年12月至2014年3月扬州市第一人民医院收治的19例急性原发性肠脂垂炎患者的临床资料.患者行多排螺旋CT检查,将所有数据传输至CT后处理工作站进行多平面重建.观察病灶的部位、形态、大小、密度及周围表现、腹膜是否增厚等影像学表现.结果 19例患者的病灶均位于结肠旁.病灶部位:盲肠旁1例,升结肠旁4例,结肠肝曲旁1例,降结肠旁6例,乙状结肠旁7例.病灶形状:呈卵圆形或戒指样14例,呈火焰样5例.病灶直径为0.8～3.7 cm.CT平扫:病灶为低密度团块呈脂性密度,CT值为-101～-34 HU,中心密度较低,边缘密度较高.CT增强扫描:病灶常呈环状强化,周围脂肪间隙模糊,见片絮状稍高密度炎症区域,9例患者病灶中央见点状或线条状稍高密度影;局部腹膜增厚14例;局部结肠壁水肿增厚1例;盆腔积液5例.4例患者复查CT结果示:周围炎症区域缩小、消失,病灶缩小、结节化、钙化.结论 多排螺旋CT检查结果具有特征性,联合多平面重建能准确诊断急性原发性肠脂垂炎.
目的 總結急性原髮性腸脂垂炎的多排螺鏇CT檢查特徵,探討其臨床價值.方法 迴顧性分析2009年12月至2014年3月颺州市第一人民醫院收治的19例急性原髮性腸脂垂炎患者的臨床資料.患者行多排螺鏇CT檢查,將所有數據傳輸至CT後處理工作站進行多平麵重建.觀察病竈的部位、形態、大小、密度及週圍錶現、腹膜是否增厚等影像學錶現.結果 19例患者的病竈均位于結腸徬.病竈部位:盲腸徬1例,升結腸徬4例,結腸肝麯徬1例,降結腸徬6例,乙狀結腸徬7例.病竈形狀:呈卵圓形或戒指樣14例,呈火燄樣5例.病竈直徑為0.8～3.7 cm.CT平掃:病竈為低密度糰塊呈脂性密度,CT值為-101～-34 HU,中心密度較低,邊緣密度較高.CT增彊掃描:病竈常呈環狀彊化,週圍脂肪間隙模糊,見片絮狀稍高密度炎癥區域,9例患者病竈中央見點狀或線條狀稍高密度影;跼部腹膜增厚14例;跼部結腸壁水腫增厚1例;盆腔積液5例.4例患者複查CT結果示:週圍炎癥區域縮小、消失,病竈縮小、結節化、鈣化.結論 多排螺鏇CT檢查結果具有特徵性,聯閤多平麵重建能準確診斷急性原髮性腸脂垂炎.
목적 총결급성원발성장지수염적다배라선CT검사특정,탐토기림상개치.방법 회고성분석2009년12월지2014년3월양주시제일인민의원수치적19례급성원발성장지수염환자적림상자료.환자행다배라선CT검사,장소유수거전수지CT후처리공작참진행다평면중건.관찰병조적부위、형태、대소、밀도급주위표현、복막시부증후등영상학표현.결과 19례환자적병조균위우결장방.병조부위:맹장방1례,승결장방4례,결장간곡방1례,강결장방6례,을상결장방7례.병조형상:정란원형혹계지양14례,정화염양5례.병조직경위0.8～3.7 cm.CT평소:병조위저밀도단괴정지성밀도,CT치위-101～-34 HU,중심밀도교저,변연밀도교고.CT증강소묘:병조상정배상강화,주위지방간극모호,견편서상초고밀도염증구역,9례환자병조중앙견점상혹선조상초고밀도영;국부복막증후14례;국부결장벽수종증후1례;분강적액5례.4례환자복사CT결과시:주위염증구역축소、소실,병조축소、결절화、개화.결론 다배라선CT검사결과구유특정성,연합다평면중건능준학진단급성원발성장지수염.
Objective To summarize the features of multi-slice spiral computed tomography (MSCT) examination of acute primary epiploic appendagitis,and investigate the clinical value of MSCT.Methods The clinical data of 19 patients with acute primary epiploic appendagitis who were admitted to the Yangzhou No.1 Hospital from December 2009 to March 2014 were retrospectively analyzed.All the patients received MSCT examination,and the data were transported to the work station for multiplanar reconstruction.The location,shape,size,density,peripheral performance and peritoneal thickening were observed.Results The foci of the 19 patients were located adjacent to the colon.One focus was adjacent to the cecum,4 were adjacent to the ascending colon,1 was adjacent to the hepatic flexure of the colon,6 were adjacent to the descending colon,and 7 were adjacent to the sigmoid colon.The shapes of the foci were similar to the oval or ring in 14 cases and similar to the flame in 5 cases.The diameters of the foci were 0.8-3.7 cm.The results of CT plain scan showed that the density of the foci was similar to that of the fat,and the CT value was-101--34 HU.The central density of the foci was lower,while the limbic density was higher.The results of CT enhanced scan showed a ring-like enhancement region in the foci,and the lesion was surrounded by slightly high-density inflammation.Point or linear slightly high-density shadows were detected at the center of the foci in 9 patients.The peritoneum was locally thickened in 14 patients.The colonic wall was locally thickened in 1 patient,and the pelvic effusion was detected in 5 patients.The results of CT reexamination of 4 patients showed that the inflammatory regions were reduced or disappeared,the mass shrank,nodulized or calcified.Conclusions MSCT examination can provide a specific features of primary epiploic appendagitis.It could accurately diagnose acute primary epiploic appendagitis when combined with multiplanar reconstruction.
