系统性红斑狼疮腹部并发症的螺旋CT表现  

The MSCT Signs of Abdominal Complications of SLE

作　　者：张荣飞 吕云罡 李君胜 海兰 

机构地区：[1]内蒙古国际蒙医医院影像中心,呼和浩特010065

出　　处：《现代医用影像学》2012年第6期371-374,共4页Modern Medical Imageology

摘　　要：目的:通过总结分析系统性红斑狼疮(SLE)腹部并发症的临床及螺旋CT表现征象。材料与方法:回顾性分析9例因SLE病人并发腹部症状行螺旋CT检查的临床资料和扫描重建图像,有3例做了增强扫描,其余6例因肾功能不良而未做增强。主要观察肠道、肠系膜及其血管的异常CT表现,同时还要观察邻近脏器的改变。结果:肠壁水肿、增厚7例,肠壁"靶征"8例,肠管扩张6例,肠系膜水肿和脂肪混浊9例,肠系膜血管"梳状"排列3例。其它有胸腹水,肝脾肿大、肾周筋膜增厚等。结论:肠缺血是SLE腹部并发症的最重要病理改变,而肠系膜及血管和肠壁异常影像改变是最常见CT征象。Purpose:To analyse the clinical feature and the spiral CT signs of systemic lupus erythematosus(SLE) with abdominal complications through summarization.Materials and Methods:The clinical data and reconstruction image of 9 cases with abdominal complications of SLE were analyzed.Out of 9 patients,3 cases were enhanced,and the rest was ever done because of renal adverse events.Intestinal tract,mesenterium and their blood vessel,and nearby organs were observed.Results:there were 7 cases with intestine wall swelling,8 cases with 'target sign',6 cases with dilated intestinal canal,9 cases with mesentery swelling,3 cases with pectinate line of mesentery blood vessel,and pleural and ascitic fluid,hepatosplenomegaly,perirenal fascia thickening et al.Conclusion:The intestinal ischemic is the most significant pathological changes of SLE with abdominal complications.Abnormal diagnostic imaging of mesentery and its blood vessel,and intestinal wall is the most common sign of CT.

关 键 词：系统性红斑狼疮 腹部并发症 肠管缺血 螺旋CT 

分 类 号：R593.241[医药卫生—内科学]