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目的探讨胃肠道脂肪瘤的MSCT及内镜检查的诊断价值及临床应用价值分析。方法搜集24例经临床及病理证实的胃肠道脂肪瘤患者,分析其MSCT及内镜检查表现。结果 24例中,胃贲门脂肪瘤1例,空回肠6例,结肠17例,其中合并结肠套叠3例;MSCT检查表现为胃肠壁结节或团块状脂肪密度影,CT值-68~-94HU,边界清楚,密度均匀,合并肠套叠者可见鞘部及套入部;内镜检查显示胃肠壁黏膜下隆起或带蒂的结节及团块状突起,其中3例病灶可见黄色脂肪样密度影(“裸脂征”),3例病灶表面胃肠黏膜可见溃破出血。结论 MSCT检查能清楚判断脂肪瘤位置、大小、形态及性质,值得广泛应用;而内镜检查能清楚显示病灶形态及局部胃肠黏膜状况,对临床治疗方案选择有积极作用。
Objective To investigate the diagnostic value and clinical value of MSCT and endoscopy in patients with gastrointestinal lipoma. Methods Twenty-four patients with gastrointestinal lipoma proved clinically and pathologically were collected and their MSCT and endoscopic findings were analyzed. Results Of the 24 cases, 1 had gastric cardia lipoma, 6 had ileum, 17 had colon, and 3 had intussusception. The MSCT showed gastrointestinal wall nodules or lumpy fat density with a CT value of -68 ~ -94HU, a clear boundary, uniform density, combined intussusception visible sheath and nested; endoscopic examination showed submucosal uplift or pedunculated gastrointestinal wall nodules and lumps, of which 3 cases visible yellow Fat-like density (“naked fat levy”), 3 cases of gastrointestinal mucosa lesions showed ulcerated bleeding. Conclusion MSCT can clearly determine the location, size, shape and nature of lipoma, which is worthy of wide application. However, endoscopic examination can clearly show the morphology of the lesion and the local gastrointestinal mucosa, which has a positive effect on the selection of clinical treatment options.