CAJ | 학술논문

目的：探讨肠系膜上静脉血栓形成( SMVT)的CT诊断价值。方法回顾分析15例SMVT患者的影像学资料，并加以总结。结果15例SMVT患者中，肠管扩张积气、积液12例；肠壁水肿增厚伴密度改变8例；肠系膜血管增粗，脂肪渗出6例；肠系膜血管走行异常5例；肠系膜静脉管腔内充盈缺损15例，管壁强化13例。结论 CT能够清晰显示SMVT的直接征象与间接征象，并有助于外科术前指导和内科疗效评价。
목적：탐토장계막상정맥혈전형성( SMVT)적CT진단개치。방법회고분석15례SMVT환자적영상학자료，병가이총결。결과15례SMVT환자중，장관확장적기、적액12례；장벽수종증후반밀도개변8례；장계막혈관증조，지방삼출6례；장계막혈관주행이상5례；장계막정맥관강내충영결손15례，관벽강화13례。결론 CT능구청석현시SMVT적직접정상여간접정상，병유조우외과술전지도화내과료효평개。
Objective To evaluate the value of CT diagnosis for superior mesenteric vein thrombosis. Methods Imaging findings with superior mesenteric vein thrombosis in 15 cases were retrospectively analyzed. Results Among 15 cases with superior mesenteric vein thrombosis, 12 cases had bowel dilatation and/or air-fluid levels, 8 cases showed thickened bowel wall, 6 cases had mesenteric vascular en-largement and effusion of mesenteric, 5 cases displayed mesenteric vascular abnormal route, mesenteric vein lumen had filling defect in 15 cases, and venous wall was strengthened in 13 cases. Conclusion CT can demonstrate direct and indirect signs of superior mesenteric vein thrombosis clearly, which is effective for the surgery preoperative guidance and evaluation of medical treatment.