CT Presentation and Its Diagnostic Value of Mesenteric Panniculitis Lymph Nodes
Objective To investigate the CT presentation and its diagnostic value of mesenteric panniculitis lymph nodes.Methods 110 patients with mesenteric panniculitis with dynamic enhanced CT in our hospital from January 2010 to January 2020 were retrospectively analyzed,and 120 patients without mesenteric panniculitis with dynamic enhanced CT were randomly selected as control group.The following indexes were analyzed according to the lymph node morphology,fat ring sign,position relation between the lymph node and intestinal vein,the CT value of the two groups'lymph node were measured.Counted and analyzed.Results The lymph nodes of the mesenteric panniculitis group were stripes-blocks(23 cases),stripes-blocks and circular(72 cases),single-circular(15 cases),perimesenteral(102 cases),fat ring sign(46 cases),perimesenteral and fat ring sign(38 cases),the lymph nodes of the control group were 8,4,108,10,0 and 0 respectively,the lymph nodes of the control group was more distributed around the organs and retroperitoneal than the mesenteric panniculitis group,the above statistical differences were observed(P=0.00).there was no significant difference according to the two groups'lymph node plain scan CT value(26.79±11.00/26.88±8.07),yet the difference according to the two groups'lymph node CT value(arterial phase:53.85±16.11/55.36±10.35,portal phase:77.82±22.00/61.40±17.25)were statistically significant(P=0.00).Conclusion The lymph node morphology(block/circle),perimesenteric veins distribution,fat ring sign and portal stage significantly enhanced indicated the mesenteric panniculitis.