摘要
目的:通过多层螺旋CT探讨肠系膜脂膜炎(mesenteric panniculitis,MP)的影像特征表现和临床价值。方法:回顾性分析112例肠系膜脂膜炎患者多层螺旋CT影像学资料总结其CT影像学特征,并对肠系膜病变组织与腹膜后正常脂肪组织的CT值进行统计学分析。结果:112例肠系膜脂膜炎均累及小肠系膜,其中100例可见雾状肠系膜,81例可见"假包膜征"形成,72例可见"脂肪环征"形成,76例可见小结节。平扫肠系膜病变部位CT值(-62.12±17.86)HU,与腹膜后正常脂肪组织(-108.63±6.36)HU比较,差异有统计学意义(t=2.42,P<0.05)。结论:肠系膜脂膜炎多层螺旋CT影像表现有特征性,且多层螺旋CT对诊断肠系膜脂膜炎具有很高的效率和准确性。
Objective:To explore the imaging features and clinical diagnostic value of multi-slice spiral CT in patients with mesenteric panniculitis.Method:The MSCT images of 112 cases with mesenteric panniculitis were analyzed retrospectively,in which the imaging characteristics were summarized andstatistical analysis was performed between the CT value of mesenteric lesion and normal retroperitoneal adipose tissue.Result:A total of 112 cases with mesenteric panniculitis all commonly involved the mesentery,among them 100 case showed foggy density around mesentery,81 cases confirmed the formation of pseudocapsule sign,72 cases performed lipid ring sign,and small soft nodules were seen in 76 cases.On plain scan,the CT value of mesentery lesions (-62.12±17.86) HU compared with the CT value of normal adipose tissue of (-108.63±6.36) HU,the difference was statistically significant (t=2.42,P<0.05).Conclusion:Multi-slice spiral CT diagnosis of mesenteric panniculitis has certain characteristic features,and has high efficiency and accuracy to the diagnosis of mesenteric panniculitis.
作者
王琼
WANG Qiong(Capital Medical University Affiliated Shijingshan Teaching Hospital,Beijing 100043,China)
出处
《中外医学研究》
2020年第28期71-73,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
多层螺旋CT
肠系膜脂膜炎
脂环征
假包膜征
Multi-slice spiral CT
Mesenteric panniculitis
Lipid ring sign
Pseudocapsule sign
