肠结核的多层螺旋CT肠道造影表现
发布时间：2018-08-08 17:34
【摘要】：【目的】总结肠结核(ITB)在多层螺旋CT小肠造影(MSCTE)的表现,探讨MSCTE在ITB的诊断价值。【方法】收集15例经内镜检查或手术后病理确诊为ITB的临床与影像学资料,所有的患者均行MSCTE检查,回顾性分析其MSCTE表现,包括病灶的位置、数目、形状、边界和邻近组织的改变,以及腹部其它脏器、腹膜、大网膜和肠系膜的变化,并与内镜及手术结果相对照。【结果】15例ITB中,13例(86%)主要累及回盲部。4例(27%)表现为多节段肠壁均匀增厚,9例(60%)表现为局部肠壁实质性肿块形成,1例(6%)表现为多发节段性肠壁增厚并肿块形成,1例(6%)表现为不均匀强化的肿块并肠穿孔。12例ITB出现淋巴结肿大,均表现为环形强化。2例(13%)ITB的肠系膜血管出现"梳状征"。按其在MSCTE增强扫描上的强化模式,将该9例肿块型小肠结核分为3种类型:a.明显均匀强化型(n=5);b."靶征"征象型(n=2);c.干酪样坏死型(n=2)。【结论】ITB的影像学征象表现具有多样性。MSCTE能够清楚地显示肠粘膜轮廓、肠壁及其与周围组织的关系,为ITB的诊断提供丰富的信息。
[Abstract]:[objective] to summarize the manifestations of (ITB) in multislice spiral CT enterography (MSCTE) and to explore the diagnostic value of MSCTE in ITB. [methods] the clinical and imaging data of 15 cases with ITB diagnosed by endoscopy or pathology after operation were collected. All patients were examined with MSCTE. The MSCTE findings, including the location, number, shape, boundary and adjacent tissue of the lesions, and the changes of other abdominal organs, peritoneum, omentum and mesentery were analyzed retrospectively. In 13 cases (86%) of ITB, 4 cases (27%) were mainly involved in ileocecal part. 9 cases (60%) showed homogeneous thickening of multiple segments of intestine wall, and 1 case (6%) showed local solid mass of intestinal wall. In 1 case (6%) with segmental wall thickening and mass formation, 1 case (6%) showed uneven enhancement of the mass and intestinal perforation. 12 cases of ITB showed lymphadenopathy, and 1 case (6%) showed lymphadenopathy. All cases (13%) showed "comb sign" in mesenteric vessels with circular enhancement (13%). According to the enhancement pattern of MSCTE, the 9 cases of small intestinal tuberculosis with lumps were divided into three types: a. " Target sign "sign type" (n = 2). [conclusion] the imaging features of ITB are diverse. MSCTE can clearly show the outline of intestinal mucosa, the relationship between intestinal wall and surrounding tissues, and provide rich information for the diagnosis of ITB.
【作者单位】： 江门市新会区中医院;中山大学附属第一医院医学影像科;
【基金】：广东省自然科学基金(2014A030310484)
【分类号】：R524
本文编号：2172515
[Abstract]:[objective] to summarize the manifestations of (ITB) in multislice spiral CT enterography (MSCTE) and to explore the diagnostic value of MSCTE in ITB. [methods] the clinical and imaging data of 15 cases with ITB diagnosed by endoscopy or pathology after operation were collected. All patients were examined with MSCTE. The MSCTE findings, including the location, number, shape, boundary and adjacent tissue of the lesions, and the changes of other abdominal organs, peritoneum, omentum and mesentery were analyzed retrospectively. In 13 cases (86%) of ITB, 4 cases (27%) were mainly involved in ileocecal part. 9 cases (60%) showed homogeneous thickening of multiple segments of intestine wall, and 1 case (6%) showed local solid mass of intestinal wall. In 1 case (6%) with segmental wall thickening and mass formation, 1 case (6%) showed uneven enhancement of the mass and intestinal perforation. 12 cases of ITB showed lymphadenopathy, and 1 case (6%) showed lymphadenopathy. All cases (13%) showed "comb sign" in mesenteric vessels with circular enhancement (13%). According to the enhancement pattern of MSCTE, the 9 cases of small intestinal tuberculosis with lumps were divided into three types: a. " Target sign "sign type" (n = 2). [conclusion] the imaging features of ITB are diverse. MSCTE can clearly show the outline of intestinal mucosa, the relationship between intestinal wall and surrounding tissues, and provide rich information for the diagnosis of ITB.
【作者单位】： 江门市新会区中医院;中山大学附属第一医院医学影像科;
【基金】：广东省自然科学基金(2014A030310484)
【分类号】：R524
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1 赵志忠;王德中;;肠系膜寄生虫(蛔虫)性肉芽肿一例[J];青海医药杂志;1986年01期
，本文编号：2172515
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