硬化性肠系膜炎的CT影像学特征与伴发病变的相关性  

The relative analysis of CT features and associated disease in sclerosing mesenteritis

作　　者：李俊晨[1] 谈炎欢 李国华[1] 胡春洪[2] 

机构地区：[1]江苏省常熟市中医院放射科,江苏常熟215500 [2]苏州大学附属第一医院放射科,江苏苏州215006

出　　处：《医学影像学杂志》2015年第11期1972-1975,共4页Journal of Medical Imaging

摘　　要：目的探讨硬化性肠系膜炎的CT影像学特征与伴发性疾病尤其是腹部恶性肿瘤的相关性。方法收集20例硬化性肠系膜炎患者临床资料及影像学资料,回顾性分析与恶性肿瘤的相关性。结果 20例患者中有恶性肿瘤病史8例,诊断出硬化性肠系膜炎之后再发现恶性肿瘤的患者有3例,研究分析显示肠系膜脂膜炎与肿块内结节灶大小>10.5mm,"脂环征"及伴发恶性肿瘤具有明显相关性。本研究存在样本数量较少的局限性。结论硬化性肠系膜炎通常伴发潜在恶性肿瘤,若同时出现硬化性肠系膜炎,其腹部恶性肿瘤发生率会有提高。Objective To explone the relativity of CT features and associated disease,especially,abdominal malignancy,in sclerosing mesenteritis.Methods 20 cases of sclerosing mesenteritis were collected.A retrospective analysis of clinical data and imaging data were performed.The relativity of occult malignancy was analysed.Results Eight patients had a history of malignancy in 20 cases.Malignancies were diagnosed after detection of sclerosing mesenteritis in three patients.Univariate analysis of the nodule size in the tumor〉10.5mm and the absence of the fat ring sign were associated with the subsequent diagnosis of malignancy in patients with sclerosing mesenteritis.This review had limited by its small number of individuals.Conclusion Sclerosing mesenteritis is often associated with an occult malignancy.The nodule size in the tumor〉9.5mm and the absence of the fat ring sign are identified as predictors of subsequent diagnosis of malignancy in patients with sclerosing mesenteritis.Identification of sclerosing mesenteritis on imaging should prompt an awareness for possible malignancy in these patients.

关 键 词：硬化性肠系膜炎 腹部恶性肿瘤 体层摄影术 X线计算机 

分 类 号：R574[医药卫生—消化系统]