中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
26期
91-92
,共2页
结核性腹膜炎%腹水%CT增强扫描
結覈性腹膜炎%腹水%CT增彊掃描
결핵성복막염%복수%CT증강소묘
Tuberculosis peritonitis%Ascites%CT contrast enhanced scan
目的：探讨结核性腹膜炎的多排CT扫描特点、其CT诊断及鉴别诊断方法。方法：收治结核性腹膜炎患者76例，回顾性分析其CT表现。结果：①壁层腹膜增厚34例，24例增强扫描有强化；②腹水41例，少量18例，中量16例，大量7例；③肠系膜改变38例，CT表现为系膜不规则增厚；④大网膜改变14例，CT主要表现为大网膜呈饼状增厚；⑤腹腔淋巴结肿大33例；⑥合并肠梗阻12例，肠穿孔6例。结论：结核性腹膜炎的主要 CT表现为腹膜增厚、腹水、腹腔淋巴结肿大及肠系膜改变，CT扫描有助于诊断及鉴别诊断。
目的：探討結覈性腹膜炎的多排CT掃描特點、其CT診斷及鑒彆診斷方法。方法：收治結覈性腹膜炎患者76例，迴顧性分析其CT錶現。結果：①壁層腹膜增厚34例，24例增彊掃描有彊化；②腹水41例，少量18例，中量16例，大量7例；③腸繫膜改變38例，CT錶現為繫膜不規則增厚；④大網膜改變14例，CT主要錶現為大網膜呈餅狀增厚；⑤腹腔淋巴結腫大33例；⑥閤併腸梗阻12例，腸穿孔6例。結論：結覈性腹膜炎的主要 CT錶現為腹膜增厚、腹水、腹腔淋巴結腫大及腸繫膜改變，CT掃描有助于診斷及鑒彆診斷。
목적：탐토결핵성복막염적다배CT소묘특점、기CT진단급감별진단방법。방법：수치결핵성복막염환자76례，회고성분석기CT표현。결과：①벽층복막증후34례，24례증강소묘유강화；②복수41례，소량18례，중량16례，대량7례；③장계막개변38례，CT표현위계막불규칙증후；④대망막개변14례，CT주요표현위대망막정병상증후；⑤복강림파결종대33례；⑥합병장경조12례，장천공6례。결론：결핵성복막염적주요 CT표현위복막증후、복수、복강림파결종대급장계막개변，CT소묘유조우진단급감별진단。
Objective:To investigate the multi row CT scan features of tuberculous peritonitis,to investigate the CT diagnosis and differential diagnosis.Methods:76 patients with tuberculous peritonitis were selected.The CT performance was analyzed retrospectively.Results:①34 cases had peritoneal wall thickening,24 cases had enhancement in enhanced scan.②41 cases had ascites,18 cases were small volume,16 cases were medium volume,7 cases were large volum.③38 cases had mesenteric changes, CT manifestation was mesangial thickening.④14 cases had omental change,CT manifestation was pie thickening of omentum majus.⑤33 cases had abdominal lymph nodes.⑥12 cases had intestinal obstruction,6 cases had intestinal perforation.Conclusion:The main CT manifestations of tuberculosis peritonitis were peritoneal thickening,ascites,abdominal lymph nodes and mesenteric changes.The CT scan was helpful in diagnosis and differential diagnosis.
