CT对右下腹占位性病变的诊断价值  

CT Value in the Diagnosis of Space-occupying Lesions in the Right Lower Abdomen

作　　者：周述岭 胡兴平[1] 周明涛[2] 王中秋[3] 彭陵[1] 牛玉芯 

机构地区：[1]安徽省铜陵县人民医院CT室,244100 [2]扬州医学院苏北人民医院放射科 [3]南京军区南京总医院医学影像科

出　　处：《临床放射学杂志》2001年第3期210-212,共3页Journal of Clinical Radiology

摘　　要：目的　探讨CT对右下腹占位性病变的诊断价值。材料与方法　对 5 4例临床考虑为右下腹肿瘤或非肿瘤性病变的患者行CT检查 ,除 1例回盲部肠结核外 ,均经手术及病理证实。结果　 5 4例中恶性病变 3 8例 ,其CT表现为软组织肿块和弥漫性肠壁增厚 ,包括肠外压性软组织肿块 ,肠周浸润 ,增强扫描检查呈明显均匀或不均匀强化。良性病变 16例 ,主要是炎症性病变 ,CT表现为肠壁增厚 ,周围筋膜增厚 ,少有软组织肿块 ,轻或中等度强化。结论　CT对右下腹的肿瘤和非肿瘤性病变的诊断和鉴别诊断具有一定的价值。Objective To evaluate CT scanning in diagnosing space occupying lesions in the right lower abdomen.Materials and Methods CT scanning was performed in 54 patients with clinically suspected space-occupying lesions in the right lower abdomen. The diagnosis was confirmed by surgery or pathology in all cases except one with ileocecal tuberculosis.Results Of 54 cases, 38 were affected with malignant tumor, which presented as soft tissue mass, diffuse thickening of the intestinal wall, as well as pressure from external mass and pericolic infiltration, with homogeneous or inhomogeneous enhancement. The remaining 16 cases were found ill with benign lesions, mainly inflammatory disease, presenting as thickening of intestinal wall and circumferential fascia, and, occasionally, soft tissue mass with slight to moderate enhancement.Conclusion CT is of some value in the diagnosis and differentiation of space occupying lesions, malignant or benign, in the right lower abdomen.

关 键 词：右下腹占位性病变 CT 诊断 盲肠癌 回盲部占位性病变 

分 类 号：R816.5[医药卫生—放射医学]