【摘要】 目的:分析结核性腹膜炎的MSCT表现。方法:回顾性分析15例结核性腹膜炎的8层螺旋CT表现,其中11例行常规腹部增强CT扫描。所有病例中经手术病理证实5例,腹腔穿刺病理证实4例,临床抗结核有效并持续观察6例。结果:15例均有腹水,其中腹、盆腔多处包裹性积液2例,少量腹水3例;腹膜增厚10例,呈不均匀增厚6例,6例呈明显增强征象;网膜增厚9例,呈饼样5例、茧样2例、污秽样2例,增强后显示更加清晰;肠系膜增厚11例,表现为结节、污秽样改变;淋巴结增大6例,其中2例增强后呈明显环样强化。伴有其它脏器结核8例,其中肺结核并胸水6例,肠结核2例。结论:结核性腹膜炎多层螺旋CT具有特征性表现,必要的多平面重建可以揭示病变的特征、范围及周围结构。更多还原

【Abstract】 Objective:To analyse the multi-slice spiral CT appearances of tuberculous peritonitis.Methods:15 cases of patients with tuberculous peritonitis were reviewed by 8 multi-slice spiral CT,of which abdominal contrast-enhanced CT scan were performed in 11 cases of patients.5 cases were proven by surgery and pathology and 4 cases by puncture,6 cases with clinical cure following continous observation.Results:Ascites were in 15 cases,the abdominal pelvic multiple parcels of effusion in 2 cases,a little in 3 cases;10 cases had thicken peritoneum,homogeneous thicken was in 6 cases,sign of evident enhancement in 6 cases;thicken omentum was in 9 cases;caking thicken in 5 cases,cocoon-like in 2 cases,filthy in 2 cases;thickened mesentery and nodular or smudged thickened in 11 cases;6 cases had lymphadenopathy,rim enhancement in 2 cases,8 cases were accompanied with other tuberculosis.Conclusion:Tuberculous peritonitis in MSCT have characteristic presentation.Essential multiplanar reconstruction can reveal the characteristics,extent and peripheral structures of the lesion.更多还原