MSCT淋巴管成像诊断原发性小肠淋巴管扩张症

发布时间：2018-02-27 07:32

本文关键词： 原发性小肠淋巴管扩张症体层摄影术 X线计算机淋巴管造影　出处：《临床放射学杂志》2015年05期 　论文类型：期刊论文

【摘要】：目的探讨MSCT淋巴管成像在原发性小肠淋巴管扩张症(PIL)中的诊断价值。方法回顾性分析经手术病理证实的16例PIL患者的影像学资料,所有患者均于直接淋巴管造影术后行胸腹部MSCT联合扫描,并行内镜检查,将MSCT图像和手术病理及内镜结果进行对照。结果 16例患者MSCT淋巴管成像均能清晰显示病变肠管及肠管以外病变,肠管扩张14例,肠壁增厚13例,胸腔积液5例,腹腔积液7例,心包积液3例,肠系膜水肿12例,肠系膜结节6例,腹腔淋巴管瘤2例;肠淋巴干反流7例,腰淋巴干反流13例,胸膜及肺内淋巴反流3例,心包纵隔淋巴反流3例,纵隔肺淋巴反流4例,T8以下水平胸导管梗阻1例,胸导管出口梗阻14例。结论 MSCT淋巴管成像可以清晰显示PIL肠管本身及肠管以外病变的部位、范围及程度,为临床诊断和治疗提供重要依据。
[Abstract]:Objective to evaluate the value of MSCT lymphangiography in the diagnosis of primary intestinal lymphangiectasis. Methods the imaging data of 16 patients with PIL proved by operation and pathology were retrospectively analyzed. All patients underwent combined chest and abdominal MSCT scanning and endoscopic examination after direct lymphangiography. Results the MSCT lymphatic angiography of 16 patients showed clearly the lesions of the intestinal duct and the lesions outside the intestine, 14 cases of intestinal dilatation, 13 cases of intestinal wall thickening, 5 cases of pleural effusion, and 14 cases of intestinal dilatation, 13 cases of intestinal wall thickening, 5 cases of pleural effusion, and 5 cases of pleural effusion. There were 7 cases of peritoneal effusion, 3 cases of pericardial effusion, 12 cases of mesenteric edema, 6 cases of mesenteric nodule, 2 cases of peritoneal lymphangioma, 7 cases of intestinal lymphoid trunk reflux, 13 cases of lumbar lymphoid trunk reflux, 3 cases of pleural and intrapulmonary lymphoid reflux. There were 3 cases of pericardial and mediastinal lymphoid reflux, 1 case of chest duct obstruction below T _ 8 level and 14 cases of thoracic duct outlet obstruction. Conclusion MSCT lymphatic vessel imaging can clearly show the location of lesions outside the intestinal duct and the intestinal duct itself of PIL. The scope and degree provide important basis for clinical diagnosis and treatment.
【作者单位】：首都医科大学附属北京世纪坛医院放射中心;首都医科大学附属北京世纪坛医院淋巴外科;
【分类号】：R574.5;R816.5

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