msct对急性原发性脂垂炎的诊断价值.docVIP

精品论文 参考文献 MSCT对急性原发性脂垂炎的诊断价值 The value of MSCT in diagnosis of acute primary epiploica arthritis 　　沈志鹏 黄松*(通讯作者) 蔡华亮 盛伟华 黄辉 朱宏华 　　（上海中医药大学附属第七人民医院医学影像科，上海 200137） 　　摘要 目的：通过分析归纳总结本组PEA病例的CT影像特征表现，对比分析急性原发性肠脂垂炎与其他急腹症及急性继发性肠脂垂炎的不同影像征象，通过对他们不同影像特征细节的总结，为以后PEA的诊断与鉴别诊断提供有效的影像诊断依据。方法：回顾分析于2008年6月至2016年5月诊断为PEA（原发与继发的急性肠脂垂炎）的所有资料，分析病灶的形态、大小、部位、密度、强化方式及病灶周围情况。结果：肿块位于乙状结肠旁6例，降结肠旁4例，升结肠旁3例。肿块主要呈圆形及椭圆形。肿块大小1.0cm×1.1cm至2.7cm×3.1cm。CT表现早期4例，肿块的脂肪内呈云絮状稍高密度影，边缘环壁较薄，增强以后，病灶环壁呈现轻度强化，肿块中央呈条索状、片絮状强化。进展期7例，病灶密度高低混杂，环壁较厚，呈中等强化，肿块边缘较清楚。恢复期2例，肿块形态不规则，环壁菲薄，并呈轻度强化，肿块缩小。13例PEA中，5例经手术病理证实，8例影像学检查，随访至病灶缩小或完全消失。结论：CT对PEA的诊断及鉴别诊断有着重要的价值，对临床治疗方式的选择有着重要参考价值。 　　关键词 原发性肠脂垂炎；X线计算机 　　SHEN Zhipeng QIU Zhifu* CAI Hualiang SHENG Weihua HUANG Hui ZHU Honghua Radiology Department, Seventh People's Hospital of Shanghai University of TCM, Shanghai 200137, China； 　　Abstract Objective: Objective analyze and summarize the pea group cases CT imaging features, comparative analysis of primary of epiploic appendagitis and other acute abdominal disease and acute secondary intestinal fat vertical inflammation of different imaging, through summing up the details of their different image feature, for the diagnosis and differential diagnosis of pea provides effective basis for imaging diagnosis of acute. Methods: Retrospective analysis in June 2008 to 2016 5 menstrual diagnosis pea (primary and secondary acute intestinal fat vertical inflammation) all the data, analysis lesion shape, size, location, density, enhancement and lesions around. Results: case number is too small, can join in our hospital CT diagnosis of acute secondary intestinal inflammation cases, and if you can refer to the hospital's CT cases. lump in the sigmoid colon by lateral in 6 cases, 4 cases, 3 cases of adjacent ascending colon. The tumor was mainly round and oval shaped. Tumor size 1.0cm * 2.7cm to 1.1cm * 3.1cm. CT manifestations of early (4 cases), fat mass was cloudy and slightly high density, edge ring wall is thin, enhanced, ri