结核性腹膜炎的螺旋CT诊断

Diagnosis of tuberculous peritonitis with spiral CT

目的探讨结核性腹膜炎的螺旋CT检查方法及其特征。方法选择经临床证实的结核性腹膜炙病人9例，回顾性分析其螺旋CT表现。结果渗出型2例，粘连型6例，干酪型1例。主要表现有腹水、腹膜增厚、肠系膜及网膜增厚粘连、合并结核性淋巴结肿大等。结论螺旋CT有助于疾病的早期诊断及治疗。

Objective To evaluate the diagnostic value of spiral CT to tuberculous peritonitis. Methods 9 cases of tuberculous peritonitis and their CT findings were studied. Results The CT findings mainly include ascites; smooth or irregular thickening of the peritoneum, mesentery or epiploon, usually with high-density node and enhancement well; multi-lymph node swell which less than lcm, et al. Conclusions Spiral CT scan on tuberculous peritonitis is helpful to the clinic diagnosis and treatment.