摘要
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 evaluate multi-slice CT（ MRCT） scanning and electronic endoscopy in diagnosing gastrointestinal lipomas Methods Twenty-four patients with pathologically-confirmed gastrointestinal lipoma were collected. The MSCT findings and endoscopic results were analyzed. Results Of the 24 cases,the lesion was located at the gastric cardia in one,at the jejunum and ileum in 6,and at the colon in 17,in three among them intussusception was accompnied.On MRCT,the lesion presented as fat-density nodule on the gastrointestinal wall with a CT value varying from- 68 to- 94 HU. The lesion had a clear border and homogeneous density,intussusceptum with its sheath could be demonstrated in the cases accompanying intussusception. Endoscopic examination showed that there were submucosal protrusion or pedunculated nodules at the gastrointestinal wall. Yellow fat density shadow,known as ＂ naked fat＂ sign,was seen in 3 cases,and superficial gastric mucosa hemorrhage was obserrved in 3 cases. Conclusion MSCT examination can correctly judge the lesion＇s location,size,shape and pathologic nature. Therefore,it is worth to popularize MRST in clinical practice. Endoscopic examination can clearly display local gastrointestinal mucosa and the lesion,which is very helpful in deciding clinical treatment plan.
出处
《临床放射学杂志》
CSCD
北大核心
2014年第11期1695-1697,共3页
Journal of Clinical Radiology
关键词
脂肪瘤
MSCT
电子内镜
Lipoma Multi-slice CT Electronic endoscopy
