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| 多排螺旋CT对不明原因腹水的诊断价值 | |
| 引用本文： | 严洋,潘小红,邹云峰,王鸿林,姚伟根.多排螺旋CT对不明原因腹水的诊断价值[J].中国基层医药,2011,18(9):1188-1189. |
| 作者姓名： | 严洋 潘小红 邹云峰 王鸿林 姚伟根 |
| 作者单位： | 1. 余姚市人民医院影像科,浙江省余姚,315400 2. 余姚市人民医院消化内科,浙江省余姚,315400 3. 余姚市人民医院病理科,浙江省余姚,315400 |
| 摘 要： | 目的 探讨多排螺旋CT（MSCT）在不明原因腹水病因诊断中的价值.方法 回顾分析113例不明原因腹水患者MSCT表现、临床资料及随访结果,总结MSCT特征.结果 MSCT表现：大量腹水50例（44.3%）,中等量腹水10例（8.8%）,少量腹水53例（46.9%）;腹膜改变51例（45.1%）;肠系膜改变44例（38.9%）;大网膜改变20例（17.7%）;腹腔、腹膜后淋巴结肿大67例（59.3%）.结论 恶性肿瘤是腹水原因待查患者最常见原因,MSCT有助于鉴别肿瘤与非肿瘤性病变,在腹水病因诊断中有较大价值. |
| 关 键 词： | 腹水 体层摄影术，X线计算机 诊断 |
The value of MSCT in the diagnosis of unexplained ascites |
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| YAN Yang,PAN Xiao-hong,ZOU Yun-feng,WANG Hong-lin,YAO Wei-gen.The value of MSCT in the diagnosis of unexplained ascites[J].Chinese Journal of Primary Medicine and Pharmacy,2011,18(9):1188-1189. | |
| Authors: | YAN Yang PAN Xiao-hong ZOU Yun-feng WANG Hong-lin YAO Wei-gen |
| Institution: | (Department of Radiology,The People＇s Hospital of Yuyao,Yuyao,Zhejiang 315400,China) |
| Abstract: | Objective To evaluate the clinical value of MSCT in the diagnosis of unexplained aseites.Methods 113 patients with unexplained ascites were retrospectively reviewed by CT、clinical data and continous observation.Results Large ascites in 50 cases(44.3%),moderate amount aseites in 10 cases(8.8%),small ascites in 53 cases(46.9%);Parietal peritoneum changed in 51 cases(45.1%);Mesentery changed in 44 cases(38.9%);Grerter omentum changed in 20 eases(17.7%);Enlargement of lymph nodes in 67 cases(59.3%).Conclusion Malignant tumor was the most common cause of unexplained ascites.MSCT could help in identifying tumors and the tumor lesion,forecast malignant ascites,and had great value in etiology and diagnosis of ascites. |
| Keywords: | Ascites Tomography X-ray computed Diagnosis |
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