原发性腹茧症的影像学诊断  

Imaging diagnosis of primary abdominal cocoon

作　　者：周涛 

机构地区：[1]河北省唐山市中医医院放射科,063000

出　　处：《中国综合临床》2009年第4期423-424,共2页Clinical Medicine of China

摘　　要：目的 讨原发性腹茧症的影像学特点，提高术前诊断水平。方法回顾性分析影像资料齐全经手术病理证实的5例腹茧症的影像学特点。结果5例患者立位腹平片中3例诊断为肠梗阻，另2例未见阳性。胃肠道钡剂造影，均可见小肠交错盘绕成团，呈“菜花状”表现，肠管扩张，小肠黏膜消失，类似“结肠袋”样改变。CT检查，可见小肠扩张聚集成团，其周围可见膜样的囊状物将其包裹。结论进行胃肠道造影时观察到“菜花状”征象，或CT检查时观察到小肠聚集成团被一膜样物包裹，应考虑到腹茧症的可能。Objective To investigate the imaging characteristics of primary abdominal cocoon in order to improve diagnosis level. Methods The imaging data of 5 cases of primary abdominal cocoon proved by surgery and pathology were retrospectively analyzed. Results Abdominal plain X-ray suggested intestinal obstruction in 3 out of 5 cases. The gastrointestinal barium meal showed cauliflower signal in all 5 cases; CT suggested a conglomeration of multiple small bowel loops in the 5 cases and the intestinal loops seemed to be encapsulated in a thickened capsule. Conclusion Abdominal cocoon should be taken into consideration when gastrointestinal barium meal shows cauliflower signal and CT displays conglomeration.

关 键 词：腹茧症 肠梗阻 腹膜疾病 

分 类 号：R656.7[医药卫生—外科学]