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结核性腹膜炎的CT表现(附30例分析)

CT Manifestations of Tuberculous Peritonitis(Analyis of 30 Cases)
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摘要 目的:探讨结核性腹膜炎的CT表现特点。材料与方法:回顾性分析经证实的结核性腹膜炎30例,观察:腹水密度及分布;系膜、网膜、腹膜病变的CT表现;肿大淋巴结的平扫及强化特点。结果:腹水常见;系膜改变21例,表现为增厚、结节状(团块状)、污秽状;网膜改变9例,表现为饼状网膜、网膜点条状、污秽样;腹膜增厚15例;淋巴结肿大6例。结论:腹膜、网膜、系膜的改变伴高密度腹水,肿大淋巴结,并结合肺结核或其它脏器结核常常高度揭示结核性腹膜炎的诊断。 Purpose: To research the CT appearances of tuberculous peritonitis (TP). Materials and Methods: 30 Cases with TP were observed: density and anatomic distrubition of ascites; The forms of omentum, mensentety, peritoneal thickening; lymphadenopathy. Re- suits: CT features included: (1) ascites, including hyperdense and hypodense ascites. (2) Ttfickened mensentery with nodular or smudged shadows. (3) Omental caking, strand and smudged. (4) Smooth Thickened peritoneum. (5) Lymphadenopathy. Conclusion: Peritoneum, mensentery, onmental tlfickened with hyperdense ascites and lymphadenopathy are usually helpful to the diagnosis of tuberculous peritonitis.
出处 《现代医用影像学》 2006年第6期241-243,共3页 Modern Medical Imageology
关键词 结核 腹膜 体层摄影术 X线计算机 Tuberculosis Peritonium Tomography X- ray computed
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