原发小肠淋巴瘤的CT诊断

发布时间：2018-06-04 03:49

本文选题：原发性小肠淋巴瘤 + CT　；参考：《世界最新医学信息文摘》2016年47期

【摘要】：目的:探讨观察CT在原发性小肠淋巴瘤疾病中的影像学表现及诊断意义。方法:选取2010年3月~2016年3月期间于我院住院治疗的经病理活检确诊为原发性小肠淋巴瘤的患者16例,并回顾性分析其影像学CT检查的结果。结果:16例患者中,淋巴瘤位于空肠者6例,位于回肠者9例,另有1例同时发生于空、回肠;CT表现可分为五型:息肉肿块型、浸润型、肠腔动脉瘤样扩张型、混合型、肠系膜型;主要表现为病变部位的肠壁呈不规则增厚,黏膜面连续、光滑,伴有肠壁黏膜下层和肌层增厚,病灶部位伴有一定程度的强化,强化程度与分型无关;共5例患者产生腹膜炎、肠穿孔等并发症,其中浸润型2例,肠腔动脉瘤样扩张型2例,混合型1例;16例患者中术后病灶部位定位与CT描述结果一致的有15例,占93.75%。结论:原发性小肠淋巴瘤的CT表现具有明显的特异性,对原发性小肠淋巴瘤的疾病分型具有较大的临床价值,并且有助于术前判断病灶的具体部位,有利于临床对原发性小肠淋巴瘤进行定性、定位检查。
[Abstract]:Objective: to investigate the imaging features and diagnostic significance of CT in primary small intestinal lymphoma. Methods: sixteen cases of primary small intestinal lymphoma diagnosed by pathological biopsy from March 2010 to March 2016 in our hospital were selected and the results of CT examination were analyzed retrospectively. Results among the 16 cases, 6 cases were located in jejunum, 9 cases were in ileum, and 1 case occurred simultaneously in jejunum. The CT findings of ileum were divided into five types: polyp mass type, infiltrating type, luminal aneurysm dilated type, mixed type. The main manifestations of mesenteric type were irregular thickening of intestinal wall, continuity and smoothness of mucosal surface, thickening of submucous and muscular layer of intestinal wall, and enhancement of lesion site, which had no relation to type. There were 5 cases of peritonitis, intestinal perforation and other complications, of which 2 cases were infiltrative type, 2 cases were aneurysm dilated type, and 16 cases were mixed type. 15 cases (93.75%) had the same location of lesion after operation and CT description. Conclusion: Ct findings of primary small intestinal lymphoma have obvious specificity and are of great clinical value in the classification of primary small intestinal lymphoma and are helpful to determine the specific location of the lesions before operation. It is helpful for clinical diagnosis and localization of primary small intestinal lymphoma.
【作者单位】：河南省南阳市南召县人民医院;
【分类号】：R735.32;R730.44

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