论文部分内容阅读
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 the CT manifestations of tuberculous peritonitis. Materials and Methods: 11 cases of tuberculous peritonitis with CT examination data were collected for analysis. Among them, 5 cases were confirmed by pathology and 6 cases were diagnosed by anti-tuberculosis treatment. Results: CT findings of 11 cases of tuberculous peritonitis were as follows: (1) 9 cases of ascites, of which 7 cases showed high density ascites (CT value> 20HU), 3 cases showed peritoneal fluid encapsulation; (2) Thickening in 7 cases, mild irregular thickening in 1 case, of which 2 cases of enhanced scanning of the peritoneum with enhanced; (3) 11 cases of mesenteric changes were manifested as thickening, nodular or “tainted” shadow; (4) omental cake thickening, nodular or “stain” -like change in 5 cases. Conclusion: CT is of great value in the diagnosis of tuberculous peritonitis, and its main differential diagnosis is peritoneal metastasis.