原发性肠脂垂炎多层螺旋CT表现及诊断价值  

MSCT Finding and Diagnostic Value of Primary Epiploic Appendagitis

作　　者：荣冰水 李梦远 梁洁 孙金磊 李葆青 RONG Bingshui;LI Mengyuan;LIANG Jie;SUN Jinlei;LI Baoqing(Capital Medical University Affiliated Shijingshan Teaching Hospital,Beijing 100043,China)

机构地区：[1]首都医科大学石景山教学医院北京市石景山医院,北京100043

出　　处：《中外医学研究》2020年第32期71-73,共3页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨原发性肠脂垂炎的多层螺旋CT(MSCT)表现及诊断价值。方法:回顾性分析2017年1月-2020年1月笔者所在医院经临床确诊的30例原发性肠脂垂炎患者的临床资料及MSCT表现,总结其影像学特征,分析MSCT对该病的诊断价值。结果:30例肠脂垂炎患者,病灶位于升结肠旁2例,降结肠旁7例,乙状结肠旁21例。肿块为卵圆形或“戒指”样,肿块最大径0.9~5.6 cm,平均(2.15±0.87)cm,19例病灶中央见高密度影。结论:原发性肠脂垂炎临床无特征性,其MSCT表现具有特征性,MSCT是诊断原发性肠肠脂垂炎非常有效的影像手段,为临床治疗提供了重要依据。Objective:To discuss MSCT finding and diagnostic value of primary epiploic appendagitis(PEA).Method:The clinical data and MSCT manifestations of 30 patients with primary epiplotic appendagitis clinically confirmed in our hospital from January 2017 to January 2020 were retrospectively analyzed,the imaging characteristics were summarized and the diagnostic value of MSCT was analyzed.Result:In the 30 cases of PEA,the tumor was located the ascending colon side in 2 cases,the descending colon side in 7 cases and the sigmoid colon side in 21 cases.The lump was ovoid or“ring”like,the maximum diameter of the lump was 0.9-5.6 cm,with an average diameter of(2.15±0.87)cm,19 cases of lesions showed high-density shadow in the center.Conclusion:PEA has no clinical features,the MSCT has characteristic features,MSCT is effective for the diagnosis of mesenteric panniculitis,providing important value for clinical treatment.

关 键 词：肠脂垂炎 多层螺旋CT 腹部 

分 类 号：R574[医药卫生—消化系统]