摘要
目的：探讨结核性腹膜炎的ＣＴ表现。材料与方法：搜集１１例有ＣＴ检查资料的结核性腹膜炎病例进行分析，其中５例经手术病理证实，６例由抗痨治疗效果显著而确诊。结果：１１例结核性腹膜炎的ＣＴ表现如下：（１）腹水９例，其中７例表现为高密度腹水（ＣＴ值大于２０ＨＵ），３例表现为腹腔包裹性积液；（２）壁腹膜光滑增厚７例，轻度不规则增厚１例，其中２例增强扫描时壁腹膜有强化；（３）１１例肠系膜均有改变，表现为增厚、结节状或“污点”状影；（４）大网膜饼形增厚、结节状或“污点”状改变５例。结论：ＣＴ对诊断结核性腹膜炎有较大价值，其主要鉴别诊断为腹膜转移癌。
Objective: To investigate CT features of tuberculous peritonitis.Materials and Methods:CT
findings of 11 cases with tuberculous peritonitis, proved pathologically in 5 and clinically in 6,
were analyzed.Rusults:The CT findings were as follows: (1) Ascites n=9), encapsulated (n=3),
hyperdense peritoneal effusion (n=7, CT value>20HU); (2) Thickened parietal peritoneum,
smoothly (n=7) or irregularly (n=1). Parietal peritoneum enhancement after contrast injection
(n=2); (3) Thickened mesentery with nodular or smudged shadows (n=11); (4) “Omental cake”
sign (n=5).Conclusion: CT is very helpful in the diagnosing of tuberculous peritonitis. Metastatic
tumor of peritoneum is the main disease needed to be differentiated with.
出处
《临床放射学杂志》
CSCD
北大核心
1999年第3期165-167,共3页
Journal of Clinical Radiology
关键词
结核性腹膜炎
CT
诊断
Tuberculous peritonitis Tomography, X ray computed
