【摘要】 目的研究分析多层螺旋CT对小肠淋巴瘤以及小肠腺癌患者的临床诊断效果。方法选择我院的15例小肠淋巴瘤患者和12例小肠腺癌患者进行研究分析。结果小肠腺癌好发于小肠近端,其发病范围有局限性,主要表现为环形累及肠壁及小肠腔内软组织结节,病灶的强化模式为"快速上升-平台",伴肝转移及周围小淋巴结,病变侵袭胰腺,肝内、外胆管及胰管扩张等,经三维血管成像(CTA)检查可见明显的"肿瘤染色"征象;小肠淋巴瘤好发于小肠远端,其发病范围广,病灶的强化模式为"缓慢上升",伴肠系膜或后腹膜的淋巴结肿大,经三维血管成像(CTA)检查可见明显的"肿瘤包绕血管"征象;两组检查结果差异有统计学意义(P<0.05)。结论多层螺旋CT扫描对分析小肠淋巴瘤与小肠腺癌的病因及病情发展等情况有重要的临床诊断意义,并且对于两者在CT及CTA下的特征性改变,可用于临床鉴别诊断。更多还原

【Abstract】 Objective To study and analyze the clinical diagnosis effect of multi slice spiral CT in patients with small intestinal lymphoma and small intestinal adenocarcinoma.Methods 15 cases of small intestinal lymphoma and 12 cases of small intestinal adenocarcinoma in our hospital were selected and analyzed.Results Intestinal adenocarcinoma occurs in the proximal small intestine,the incidence range limitations,mainly involving the intestinal wall and intestinal annular cavity soft tissue nodules lesion enhancement pattern as "rapid rise platform",with liver metastasis and lymph node lesions around the small,pancreatic invasion,intrahepatic and extrahepatic bile duct and dilatation of the pancreatic duct,the three-dimensional angiography(CTA) examination showed "signs of tumorstaining",small intestinal lymphoma occurs in the distal small intestine,the incidence of a wide range of lesion enhancement pattern for "slow rise",with mesentery or retroperitoneal lymph nodes,by angiography(CTA) examination showed the apparent "tumor blood vessels" phenomenon;there are some differences between the test results of two groups(P<0.05),with statistical significance.Conclusion Clinical diagnosis significance of multislice spiral CT scan on cause and condition analysis of small intestinal lymphoma and adenocarcinoma of the small intestine development,and for the characteristics of both in CT and CTA under the change,can be used for clinical diagnosis.更多还原