结核性腹膜炎CT影像鉴别诊断

目的：探讨结核性腹膜炎的CT表现特点,提高诊断及鉴别诊断水平。方法：以腹水、腹膜改变、肠系膜改变等作为观察指标,回顾性分析9例经病理和临床证实为结核性腹膜炎病例的CT表现。结果：9例结核性腹膜炎中7例出现腹水,其中4例高密度腹水,4例大量腹水;腹膜增厚7例,肠系膜形态改变6例;大网膜形态改变9例,增强扫描均无明显强化;淋巴结增大5例,呈环形强化2例。结论：高密度腹水是结核性腹膜炎的特征性改变,腹膜形态、大网膜形态改变有助于结核性腹膜炎的诊断。

CT differential diagnosis of tuberculous peritonitis

Objective:To assess the CT imaging features of tuberculous peritonitis so as to improve the level of its diagnosis and differential diagnosis.Methods:CT imaging features of 9 cases which were confirmed as tuberculous peritonitis were analyzed retrospectively.The concentration of the observation fell on ascites,changes of peritoneum and mesentery.Results:Ascites occurred in 7 of 9 cases of tuberculous peritonitis,including 4 cases with hyperdense ascites and 4 cases with a large amount of ascites.Peritoneum ...