CT和胃肠道造影对腹膜间皮瘤的诊断价值  

The Diagnostic Value of CT and Radiography of Gastrointestinal Tract in the Peritoneal Mesothelioma

作　　者：叶晓华[1] 周诚[1] 杨正汉[1] 顾占军[1] 林徐颖[1] 

机构地区：[1]卫生部北京医院放射科,100730

出　　处：《临床放射学杂志》2009年第6期810-812,共3页Journal of Clinical Radiology

摘　　要：目的探讨CT和胃肠道造影对腹膜间皮瘤(peritoneal mesothelioma,PM)的诊断价值。资料与方法回顾性分析9例经病理证实的PM患者的CT和胃肠道造影表现,并与术中所见进行比较。结果6例为弥漫型,其中4例CT和胃肠道造影表现与术中所见相符,1例CT对小病灶的显示受限,1例胃肠道造影显示病灶对胃肠壁的侵犯优于CT。3例为局限型,CT反映了病变的形态特征,但胃肠道造影缺乏特异表现。结论CT和胃肠道造影相结合有助于弥漫型PM的诊断。CT对局限型PM的诊断有一定帮助,而胃肠道造影的诊断作用却不大。Objective To evaluate the diagnostic value of CT and radiography of gastrointestinal tract in the peritoneal mesothelioma. Materials and Methods The imaging data of 9 cases with peritoneal mesothelioma confirmed pathologically were analyzed retrospectively and compared with intraoperative findings. Results 6 cases had diffuse lesions. The manifestations of CT and radiography of gastrointestinal tract were agree with the intraoperative findings in 4 cases. CT was limited to discover the small lesion in I case. The radiography of gastrointestinal tract was better than CT to show the invasive lesion of gastrointestinal tract ,vail in 1 case. Localized lesion was found in 3 cases, CT revealed the morphologic characteristics, the radiography of gastrointestinal tract was lack of specific manifestation. Conclusion CT combine with radiography of gastrointestinal tract is helpful for diagnosis of diffuse peritoneal mesothelioma. CT plays some role in diagnosing localized peritoneal mesothelioma, the radiography of gastrointestinal tract has little contribution to its diagnosis.

关 键 词：间皮瘤 腹膜肿瘤 胃肠道造影 体层摄影术 X线计算机 

分 类 号：R735.5[医药卫生—肿瘤]