首页|肠系膜脂膜炎淋巴结CT表现及其诊断价值

肠系膜脂膜炎淋巴结CT表现及其诊断价值

扫码查看
目的 探讨肠系膜脂膜炎淋巴结CT改变及其诊断价值.方法 回顾分析2010.1-2020.1我院具有动态增强CT的肠系膜脂膜炎患者110例,并随机选取腹部动态增强非肠系膜脂膜炎的患者120例作为对照组.分析二组淋巴结形态、脂环征、淋巴结与肠系膜上静脉、腹部器官的位置关系,并测量二组淋巴结动态增强的CT值,计数并统计分析.结果 肠系膜脂膜炎组淋巴结呈条块状、条块和类圆形、单存类圆形、分布在肠系膜上静脉周围、脂环征及肠系膜上静脉周围并脂环征分别为23、72、15、102、46及38例,对照组分别为8、4、108、10、0及0,对照组分布在器官周围及腹膜后多于脂膜炎组,以上差异有计学差异(P=0.00),二组淋巴结平扫CT值(26.79±11.00/26.88±8.07)无明显差异,而动脉期及门脉期 CT 值(53.85±16.11/55.36±10.35,77.82±22.00/61.40±17.25)差异有统计学意义(P=0.00).结论 淋巴结的形态(条块状/类圆形)、肠系膜上静脉周围分布、脂环征及门脉期明显强化提示肠系膜脂膜炎的诊断.
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.

Mesenteric PanniculitisLymph NodesMulti-Slice-CT

徐世风、曾旭、李文华、蔡建国

展开 >

上海健康医学院附属崇明医院放射科(上海 202150)

肠系膜脂膜炎 淋巴结 MSCT

上海市崇明区科委课题

CKY2023-27

2024

中国CT和MRI杂志
北京大学深圳临床医学院 北京大学第一医院

中国CT和MRI杂志

CSTPCD
影响因子:1.578
ISSN:1672-5131
年,卷(期):2024.22(10)