不同部位肠粪石的MRI信号特征再分析.docVIP

不同部位肠粪石的MRI信号特征再分析

曲林涛盖风程永远

烟台市莱阳中心医院放射科

山东烟台265200

MRImagingFeaturesofIntestinalPhytobezoarinDifferentLocations

Qulintao,Gaifeng,Chengyongyuan

LaiyangCenterHospitalofYantaiDepartmentofradiology

yantai265200,China

基金项目：烟台市科技计划项目2022YD117

[摘要]目的分析不同部位植物性肠粪石的磁共振（MRI）信号特征，提高MRI医师对肠粪石的诊断准确率。方法对23例植物性肠粪石（20例小肠粪石、3例结肠粪石）进行MRI成像，结合手术所见，总结分析肠粪石T1WI和T2WI的信号特征。结果23例肠粪石在T2WI均呈“焦炭样”征象（即不规则形低信号）；T1WI信号可表现为：①特征性“空壳征”（即内部低信号外周环形高信号）14例，其中13例位于小肠，1例位于结肠肝曲；②混杂稍高信号5例，均位于小肠（空肠4例，回肠1例）；③均匀低信号4例，位于小肠和左半结肠各2例。结论不同部位植物性肠粪石在T2WI均呈“焦炭征”，T1WI信号复杂多样，以“空壳征”表现多见；充分认识植物性肠粪石的MRI信号特征，有助于减少误诊和漏诊。

[关键词]肠粪石；磁共振成像；诊断

[Abstract]ObjectiveToexploreMRfearuresandimagingmechanismofintestinalphytobezoarindifferentlocations.Andtoraise?the?diagnosis?accuracy?rate?ofintestinalphytobezoar.Methods23casesofintestinalphytobezoar(including20casesinsmallintestineand3casesincolon)underwent?MR?examinations.Summing-up?and?analyzingMRfeaturescombindedwithintraoperativefindings.ResultsAll23casesofintestinalphytobezoarshowedirregular?shape?lowsignalonT2weightedimage,justlikecokesign.AndonT1weightedimageshowed?asfollows.ⅰ:14casesofintestinalphytobezoar(13insmallintestineand1inascendingcolon)showedinternallowsignalandperipheralringlikehighsignal,justlikeemptyshellsign.ⅱ:5casesofintestinalphytobezoar(bothinsmallintestine)showedmixedslightlyhighersignal(3injejunumand1inileum).ⅲ:4casesofintestinalphytobezoar(2insmallintestineand2inlefthemicolon)showedslightlylowsignal.ConclusionIntestinalphytobezoarpresentedcokesignonT2weightedimageandcomplicated?signal,moreoftenemptyshellsignonT1weightedimage.ItisusefultoreducethemisdiagnosisandmisseddiagnosisbyfullyrecognizingMRfeaturesofintestinalphytobezoar.

[Keywords]Intestinalphytobezoar;Magneticresonanceimaging;Diagnosis

植物性肠粪石所致肠梗阻是胃癌术后的常见并发症