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肠系膜脂膜炎的影像特点
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Radiology
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1005-1201.2013.04.019
- Key Word:
- No keyword available
Abstract： 肠系膜脂膜炎是一种罕见的肠系膜脂肪组织的慢性非特异性炎症,小肠特别是空肠肠系膜是最常见的好发部位,小肠肠系膜、结肠肠系膜、胰腺周围脂肪、网膜囊脂肪、腹膜后及盆腔脂肪均可受累[1].笔者回顾性分析了本院收治的6例肠系膜脂膜炎患者资料,分析其影像表现,并结合文献复习,希望提高对本病的认识.一、资料与方法1.患者资料:回顾性分析本院2008年1月至2012年12月期间收治的6例肠系膜脂膜炎患者资料.其中,男5例、女1例,年龄28 ～ 88岁,中位年龄55岁.临床表现:腹痛2例,腹胀2例,另2例无明显不适因行腹部CT检查而发现.病理诊断2例,1例经CT引导下穿刺活检病理确诊、1例经腹腔镜活检病理确诊;CT诊断4例,CT诊断标准[2]:小肠系膜密度增高,包含不均匀脂肪组织且高于腹膜后脂肪密度,界限清楚,包绕但不侵犯肠系膜血管,可推压邻近肠袢,且除外肠道及腹膜后肿瘤及感染性疾病.
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