CT诊断的肠系膜脂膜炎50例临床特点分析

目的探讨肠系膜脂膜炎(MP)患者的临床特点,以提高临床医生对该病的认识。方法收集山西白求恩医院2013年1月至2017年5月行腹部CT检查并诊断MP住院患者50例临床资料,对其人口学特点、临床特征、辅助检查、治疗及预后进行分析总结。结果 50例MP患者男女比例1∶0.92,发病年龄25~85岁,平均年龄(59.1±14.0)岁,多因腹痛、发热、血尿、淋巴结肿大等就诊,22例合并肿瘤,以淋巴瘤最为多见,16例有腹部手术史。实验室检查多无特殊,所有患者均未行肠系膜病理活检。6例行腹部CT复查,其中1例经激素治疗后病灶显著吸收,其余5例无明显变化。结论 MP常见于中老年人,临床表现多样,易合并肿瘤,淋巴瘤多见,腹部CT是其最重要的诊断手段,当发现MP时,应注意除外是否合并有恶性肿瘤。

Clinical features analysis of 50 cases of mesenteric panniculitis diagnosed by computerized tomographic scanning

Objective To retrospectively summarize 50 cases of patients with mesenteric panniculitis(MP)diagnosed by CT to improve the clinicians’ understanding of the disease.Methods The patients with MP diagnosed by abdominal CT were collected from Shanxi Bethune Hospital from January 2013 to May 2017. The demographic characteristics, clinical features,auxiliary examination, treatment and prognosis were analyzed and summarized. Results The proportion of men and women was1: 0.92 and the age of onset was 25-85 years old, the average age being(59.1±14.0) years old. Most of the patients presented with abdominal pain, fever, hematuria, and lymphadenopathy, 22 cases with tumor, and the most common type was lymphoma;16 cases were with abdominal surgery history. Most of laboratory tests showed no special features;no patients had mesenteric pathologic biopsy. Six cases had abdominal CT review, and 1 case of them received used hormone treatment showed the lesion was significantly absorbed, the remaining 5 cases no significant changes. Conclusion MP is common in the elderly, the clinical manifestations are diverse, easy to merge tumor, lymphoma more common, abdominal CT is its most important diagnostic means, when found MP, should pay attention to whether the merger with malignant tumors.