MSCT对结核性和癌性腹膜炎临床诊断价值和影像学特征分析  

An analysis about radiological features the clinical value of MSCT for the tuberculous peritonitis and cancerous peritonitis

作　　者：吴小燕[1] 宋殿行[2] 

机构地区：[1]胜利石油管理局滨海医院,山东东营257237 [2]胜利石油管理局中心医院,山东东营257034

出　　处：《现代仪器与医疗》2014年第4期19-22,共4页Modern Instruments & Medical Treatment

摘　　要：目的:考察MSCT对结核性腹膜炎(TBP)和癌性腹膜炎(CP)的临床诊断价值及这两类腹膜炎的影像学特征差异。方法:以我院2009年3月至2014年2月间收治的25例结核性腹膜炎和39例癌性腹膜炎患者为研究对象,对其经MSCT检查后的影像学数据进行对比分析。结果:TBP组以高密度的腹水、壁层腹膜均匀性增厚、肠系膜污迹样改变、大网膜污迹样增厚伴小结节为典型病理特征,CP组则以大量低密度腹水、壁层腹膜结节、块状增厚样改变、肠系膜污迹样改变、大网膜污迹样增厚伴大结节、块影和饼样改变为典型病理特征,且两组间的影像征象差异有显著统计学差异(P<0.01)。结论:MSCT可有效检出TBP和CP的典型病理改变,综合壁层腹膜、肠系膜、大网膜等的影像征象差异,可将TBP与CP进行区分和定性确诊。Objective：To investigate the clinical value of MSCT for tuberculous peritonitis and cancerous peritonitis, and the imaging features of tuberculous peritonitis and cancerous peritonitis, expected to provide a clinical refernce.Methods：25 cases TBP patients and 39 cases CP patients were the objects of this study, which received a detection wit MSCT in our hospital during 2009.03-2014.02, made a comparative analysis about the difference of the imaging data.Results：The typical pathological features of TBP patients such as high -density ascites, parietal peritoneum uniformity thickening, mesenteric stains like change, omental thickening with large stains like nodules, block shadow, and cake -like changes, while the CP patients such as a large number of low-density ascites, parietal peritoneum nodules, lumps like changes thickening, mesenteric stains like change, omental thickening with large stains like nodules, block shadow, and cake -like changes, and the difference was a signiifcant difference （P〈0.01）.Conclusions：MSCT could effectively detect the typical pathology features of TBP and CP, the TBP and CP could be distinguished and qualitative diagnosed, with consider the imaging difference of parietal peritoneum, mesentery, omentum, et al.

关 键 词：多层螺旋CT 结核性腹膜炎 癌性腹膜炎 影像学特征 

分 类 号：R445[医药卫生—影像医学与核医学]