多层螺旋CT在诊断腹茧症中的价值  

Evaluation of multi-slice spiral CT in diagnosis of abdominal cocoon

作　　者：何剑[1] 沈健[1] 周玮[1] 祝跃明[1] 

机构地区：[1]湖州市中心医院放射科,浙江湖州313000

出　　处：《实用放射学杂志》2015年第1期95-97,共3页Journal of Practical Radiology

摘　　要：目的：探讨多层螺旋 CT（MSCT）在诊断腹茧症中的价值。方法回顾性分析6例经手术病理证实为腹茧症患者的MSCT 资料，采集数据在工作站用平面重建（MPR）、最大密度投影（MIP）及容积重建（VR）技术进行三维重建，观察病灶的空间解剖关系。结果6例均可见局部小肠及其系膜结构聚集成团，肠管折叠盘绕排列呈“手风琴”状或“香蕉”状。肠袢周围可见低密度的纤细纤维包膜，包膜厚薄不一，增强后纤维包膜强化轻度。受累小肠系膜血管走行异常，呈现肠系膜及其血管聚集、牵拉。结论MSCT 可以提供丰富的诊断信息，是腹茧症的首选检查方法。Objective To investigate the value of multi：slice CT in diagnosis of abdominal cocoon. Methods CT findings of six cases with pathologically proved abdominal cocoon were collected and analyzed retrospectively. The three-dimensional imagines were obtained including multi-planar reconstruction（MPR）, maximum intensity projection（MIP） and volume rendering（VR） at workstation, the relationships between the lesions and surrounding structure were observed. Results A group of local small intestine were seen gathered in all six cases, the coiled intestine arranged in ＂accordion＂ shape or ＂banana＂ shape. The fibrous capsule were geen around them with different thickness,which were low density and slightly enhancement. Mesenteric arteries showed abnormal changes,showing tension,aggregation. Conclusion MSCT can provide a wealth of diagnostic information and is the best method of examination abdominal cocoon.

关 键 词：腹茧症 肠梗阻 计算机体层成像 

分 类 号：R656[医药卫生—外科学] R574.2[医药卫生—临床医学]