老年性结肠多发憩室的MSCT诊断

发布时间：2018-02-02 05:59

本文关键词： 憩室结肠体层摄影术 X线计算机结肠镜诊断　出处：《放射学实践》2015年11期 　论文类型：期刊论文

【摘要】：目的:分析老年性结肠多发憩室的多层螺旋CT表现,提高对老年性结肠多发憩室认识。方法:搜集40例结肠镜证实的老年性结肠多发憩室临床及CT资料,总结MSCT特征并与结肠镜表现相对照。结果:40例老年性结肠多发憩室患者中,发生于升结肠的21例,降结肠11例,乙状结肠5例,横结肠1例,全结肠2例。8例提示憩室黏膜炎。老年性结肠多发憩室的MSCT表现为多发、突出于肠壁轮廓外的小囊袋状突起,直径3.0~10.0mm,小囊袋状突起内容物为气体16例,液体11例,粪石13例;6例病变肠管周围脂肪间隙模糊。结论:老年性结肠多发憩室多层螺旋CT直接征象为多发、突出于肠轮廓外的囊带状突起,直径多小于1cm,受累肠管周围脂肪间隙模糊可提示合并憩室炎。
[Abstract]:Objective: to analyze the multi-slice spiral CT findings of multiple diverticulum in elderly colon and to improve the understanding of multiple diverticulum in elderly colon. Methods: the clinical and CT data of 40 cases with multiple diverticulum of colon proved by colonoscopy were collected. Results among 40 patients with multiple diverticulum, 21 cases occurred in ascending colon, 11 cases in descending colon, 5 cases in sigmoid colon and 1 case in transverse colon. The mucositis of diverticulum was suggested in 2 cases of total colon. The MSCT features of multiple diverticulum of the aged colon were multiple, with a small cystic pouch protruding outside the outline of the intestinal wall, with a diameter of 3.0 ~ 10.0 mm. There were 16 cases of gas, 11 cases of liquid and 13 cases of fecal stone. Conclusion: multislice spiral CT findings of multiple diverticulum in elderly patients were multiple, and the diameter of multiple diverticulum was less than 1 cm. Blurred fat spaces around the involved bowel may suggest a complication of diverticulitis.
【作者单位】：三峡大学仁和医院放射影像科;三峡大学仁和医院超声影像科;
【分类号】：R574.62;R816.5
【正文快照】： 以往的研究认为,老年性结肠多发憩室好发于西方国家,我国发病率底[1]。但是随着人口老年化、饮食结构的变化及生活节奏加快,我国老年性结肠多发憩室发病率不断升高。由于多数老年性结肠憩室是无症状的,部分临床及影像诊断医生认识不够,当老年性结肠憩室合并憩室炎时,部分临床

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