CAJ | 학술논문

目的：探讨多层螺旋 CT(MSCT)在诊断腹茧症中的价值。方法回顾性分析6例经手术病理证实为腹茧症患者的MSCT 资料，采集数据在工作站用平面重建(MPR)、最大密度投影(MIP)及容积重建(VR)技术进行三维重建，观察病灶的空间解剖关系。结果6例均可见局部小肠及其系膜结构聚集成团，肠管折叠盘绕排列呈“手风琴”状或“香蕉”状。肠袢周围可见低密度的纤细纤维包膜，包膜厚薄不一，增强后纤维包膜强化轻度。受累小肠系膜血管走行异常，呈现肠系膜及其血管聚集、牵拉。结论MSCT 可以提供丰富的诊断信息，是腹茧症的首选检查方法。
목적：탐토다층라선 CT(MSCT)재진단복충증중적개치。방법회고성분석6례경수술병리증실위복충증환자적MSCT 자료，채집수거재공작참용평면중건(MPR)、최대밀도투영(MIP)급용적중건(VR)기술진행삼유중건，관찰병조적공간해부관계。결과6례균가견국부소장급기계막결구취집성단，장관절첩반요배렬정“수풍금”상혹“향초”상。장번주위가견저밀도적섬세섬유포막，포막후박불일，증강후섬유포막강화경도。수루소장계막혈관주행이상，정현장계막급기혈관취집、견랍。결론MSCT 가이제공봉부적진단신식，시복충증적수선검사방법。
Objective To investigate the value of multi-slice CT in diagnosis of abdominal cocoon.Methods CT findings of six cases with pathologically proved abdominal cocoon were collected and analyzed retrospectively.The three-dimensional imagines were obtained including multi-planar reconstruction(MPR),maximum intensity projection(MIP)and volume rendering(VR)at workstation,the rela-tionships between the lesions and surrounding structure were observed.Results A group of local small intestine were seen gathered in all six cases,the coiled intestine arranged in"accordion"shape or"banana"shape.The fibrous capsule were seen around them with different thickness,which were low density and slightly enhancement.Mesenteric arteries showed abnormal changes,showing ten-sion,aggregation.Conclusion MSCT can provide a wealth of diagnostic information and is the best method of examination abdomi-nal cocoon.