首页 | 本学科首页   官方微博 | 高级检索  
     

腹茧症的影像及临床诊断
引用本文:王鲁仲,齐滋华,刘亚群,张晓明. 腹茧症的影像及临床诊断[J]. 中国医学影像技术, 2005, 21(3): 411-413
作者姓名:王鲁仲  齐滋华  刘亚群  张晓明
作者单位:山东大学齐鲁医院影像中心,山东,济南,250012
摘    要:目的提高对腹茧症的认识及影像学诊断能力.方法分析经手术病理证实的9例腹茧症患者的临床及影像诊断资料.结果临床表现为腹痛9例,腹胀5例,腹部包块4例,7例术前均未明确诊断,分别误诊为卵巢肿瘤蒂扭转2例,急性弥漫性腹膜炎1例,慢性阑尾炎1例,急慢性肠梗阻3例.2例CT检查诊断为腹茧症.术中发现大网膜短缩4例,缺如5例,全部或部分小肠被一层灰白色致密坚韧的纤维膜包裹.胃肠造影典型表现为小肠聚集成团,呈菜花状或M形排列,且长时间形态不变;典型CT表现为新月形或半圆形低密度(纤维包膜).均行手术治疗.术后病理确诊为腹茧症.结论该病临床表现无特异性,术前诊断困难,影像学检查对该病有一定诊断价值,最后确诊需手术及病理.

关 键 词:诊断显像  临床  腹茧症
文章编号:1003-3289(2005)03-0411-03
收稿时间:2004-10-10
修稿时间:2004-10-10

Clinical and imaging diagnosis of abdominal cocoon
WANG Lu-zhong,QI Zi-hu,LIU Ya-qun and ZHANG Xiao-ming. Clinical and imaging diagnosis of abdominal cocoon[J]. Chinese Journal of Medical Imaging Technology, 2005, 21(3): 411-413
Authors:WANG Lu-zhong  QI Zi-hu  LIU Ya-qun  ZHANG Xiao-ming
Affiliation:Imaging Centre, Qilu Hospital, Shandong University, Jinan 250012, China;Imaging Centre, Qilu Hospital, Shandong University, Jinan 250012, China;Imaging Centre, Qilu Hospital, Shandong University, Jinan 250012, China;Imaging Centre, Qilu Hospital, Shandong University, Jinan 250012, China
Abstract:Objective To study the imaging diagnosis of abdominal cocoon. Methods Nine cases of abdominal cocoon were analyzed. Results Nice cases of confirmed abdominal cocoon with the clinic symptom of abdomenache, 4 cases of abdominal masses, 7 cases were dismissed except 2 cases were diagnosed by CT before surgery. The typical feature of gastrointestinal contrast examination was aggregation of small intestine, like cauliflower or character "M", being stable for a long time. The typical feature of CT was a crescent or semicircle area with slightly low density (fibroid membrane). The operation demonstrated that the whole or part of the intestine were surrounded by a strong grey fibrofilm. Conclusion No special symptoms is regarded as of abdominal cocoon. Correct imaging diagnosis is difficult prior to operation.Imaging examination is helpful with abdominal cocoon.
Keywords:Diagnostic imaging  Clinic  Abdominal cocoon
本文献已被 CNKI 维普 万方数据 等数据库收录!
点击此处可从《中国医学影像技术》浏览原始摘要信息
点击此处可从《中国医学影像技术》下载全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号