摘要
目的 探讨多排螺旋CT（MSCT）在不明原因腹水病因诊断中的价值.方法 回顾分析113例不明原因腹水患者MSCT表现、临床资料及随访结果,总结MSCT特征.结果 MSCT表现：大量腹水50例（44.3%）,中等量腹水10例（8.8%）,少量腹水53例（46.9%）;腹膜改变51例（45.1%）;肠系膜改变44例（38.9%）;大网膜改变20例（17.7%）;腹腔、腹膜后淋巴结肿大67例（59.3%）.结论 恶性肿瘤是腹水原因待查患者最常见原因,MSCT有助于鉴别肿瘤与非肿瘤性病变,在腹水病因诊断中有较大价值.
Objective To evaluate the clinical value of MSCT in the diagnosis of unexplained aseites.Methods 113 patients with unexplained ascites were retrospectively reviewed by CT、clinical data and continous observation.Results Large ascites in 50 cases（44.3%）,moderate amount aseites in 10 cases（8.8%）,small ascites in 53 cases（46.9%）;Parietal peritoneum changed in 51 cases（45.1%）;Mesentery changed in 44 cases（38.9%）;Grerter omentum changed in 20 eases（17.7%）;Enlargement of lymph nodes in 67 cases（59.3%）.Conclusion Malignant tumor was the most common cause of unexplained ascites.MSCT could help in identifying tumors and the tumor lesion,forecast malignant ascites,and had great value in etiology and diagnosis of ascites.
出处
《中国基层医药》
CAS
2011年第9期1188-1189,共2页
Chinese Journal of Primary Medicine and Pharmacy
