从8个方面掌握肠壁增厚疾病的ct诊断.pptxVIP

Bowel wall thickening-CT-pattern肠壁增厚-CT形态Professor of Radiology,University of ChicagoEvanston,IL USA and the Rijinland hospital inLeiderdorp,the Netherlands Richard Gore and Robin Smithuis We will discuss a pattern approach to patients with bowel wall thickening with special atttention to the CT-enhancement patterns.我们将讨论针对肠壁增厚患者的一种形态方法，特别注意CT增强模式contents 目录Introduction简介 Lenght of bowel wall involvement肠壁累及的长度 Overview of enhancement pattern强化模式的概述 Type 1-White Attenuation类型1-白色密度（高密度） Acute IBD急性炎症肠病 Shock Bowel休克肠 Type 2-Gray Attenuation类型2-灰色密度 Chronic Crohns disease慢性克罗恩病 Mesenteric Ischemia肠系膜缺血 Tumor肿瘤 Type 3-Water target sign类型3-水靶征 Pseudomembranous Colitis伪膜膜性肠炎 Portal hypertension门静脉高压 Spontaneous bacterial peritonitis自发性细菌性腹膜炎 Ischemia缺血 contents 目录Type 4-Fat target sign 类型4-脂肪靶征Type 5-Gas-Pneumatosis 类型5-气体-积气 Pseudopneumatosis 假性积气 Portl venous gas门静脉气体 Pneumatosis due to obstruction梗阻引起的积气 Pneumatosis due to trauma创伤引起的积气 Incidental pneumatosis偶然发现的积气 Pneumatosis in mesenteric ischemia 肠系膜缺血中的积气 Degree of mural thickening 肠壁增厚的程度 Mesenteric abnormalities 肠系膜异常 Lumen contents 肠内容物 第一部分：简介、类型1-白色密度（高密度）、类型2-灰色密度第二部分：类型3-水靶征、类型4-脂肪靶征第三部分：类型5-气体-积气第四部分：壁增厚的程度、肠系膜异常、腔内容物注：文章内容较长，按篇幅长短分为四部分，此为第三部分。感谢您的阅读！未完待续 Type 5-gas-pneumatosis 类型5-气体积气The most concerning pattern is gas within the bowel wall.最受关注的模式是肠壁内的气体。Gas within the bowel wall is called pneumatosis intestinalis.肠壁内的气体被称为肠壁积气。Pneumatosis intestinalis is seen in life-treatening situations in patients with ischemia and impending bowel perforation, who need immediate therapy.肠壁积气症见于缺血和即将发生肠穿孔患者的危及生命的情况中,他们需要立即治疗。However pneumatosis can also be found as an incidental finding in patients without abdominal complaints.然而,积气症也可为无腹部主诉患者的一个偶然发现。 Finally gas adjacent to the bowel wall can mimick pneumatosis.最后,肠壁附近的气体可类似积气症。This is called pseudopneumatosis.这就是所谓的假性积气。So the first question is.are we really dealing with pneumatosis intestinalis and what is the clinical setting of th