原发性肠脂垂炎多层螺旋CT表现分析  

Analysis of multislice spiral CT manifestations of primary enterophitis

作　　者：刘于明 刘运练 Liu Yuming;Liu Yunlian(Department of Radiology,Sandun Community Health Center of Xihu District,Hangzhou 310030,China;不详)

机构地区：[1]浙江省杭州市西湖区三墩镇社区卫生服务中心放射科,310030 [2]南京医科大学附属苏州医院放射科

出　　处：《实用医学影像杂志》2025年第1期53-56,共4页Journal of Practical Medical Imaging

摘　　要：目的 探讨原发性肠脂垂炎多层螺旋CT(MSCT)表现特征。方法 对23例经临床随访证实的肠脂垂炎的MSCT表现进行回顾性分析,通过对病灶的发病部位、密度及与邻近肠管关系等表现进行分析。结果 病灶位于乙状结肠11例,位于盲肠区6例、升结肠及降结肠各3例;20例可见环形包壳,长径13~45 mm,平均长径约24 mm,包壳厚度约1.5~3 mm,平均厚度约2.1 mm,12例病灶中可见点状或线样高密度影,2例邻近肠管稍增厚。结论 肠脂垂炎在MSCT上具有一定的特征,结合临床表现可作出诊断,为临床提供诊治依据,避免长期抗生素使用及不必要手术治疗。Objective To investigate the multislice spiral CT(MSCT)features of primary enterophitis appendaitis(PEA).Methods The MSCT manifestations of 23 cases with PEA confirmed by clinical follow-up were retrospectively analyzed,the location,density and the relationship between the lesion and the adjacent bowel were analyzed.Results Eleven cases were located beside the sigmoid colon,6 cases were located in the cecum,3 cases beside the ascending colon and 3 cases beside the descending colon.The annular cladding was found in 20 cases,the length diameter was about 13~45 mm,the average length diameter was about 24 mm,the thickness of the cladding was about 1.5~3 mm,the average thickness was about 2.1mm,in 12 cases,the center of the lesion showed present punctiform or linear high density shadow,2 cases were found with thicken bowel wall.Conclusion PEA has certain characteristics in MSCT,which can be diagnosed by combining clinical manifestations,providing clinical diagnosis and treatment basis,avoiding long-term antibiotic use and unnecessary surgical treatment.

关 键 词：体层摄影术 X线计算机 肠脂垂炎 诊断 计算机辅助 

分 类 号：R816.5[医药卫生—放射医学] R574[医药卫生—临床医学]