螺旋CT在腹茧症诊断中的应用价值

Evaluation of spiral CT in the diagnosis of abdominal cocoon

目的探讨腹茧症的CT影像特点,提高术前诊断的综合认识能力。方法回顾性分析10例经手术病理证实的腹茧症患者临床影像资料,分析影像学表现。结果 10例患者均显示肠袢异常聚集或盘曲成团,周围可见增厚包膜包裹;部分小肠包裹5例,其中位于左中上腹4例,右上腹1例;全小肠包裹5例,中下腹肠管堆聚呈饼状4例,全腹部肠管聚集呈球形1例。结论腹茧症的CT表现有一定的特征性,结合临床,大多数患者术前可得到肯定的诊断。

Objective To evaluate the CT finding in the diagnosis of abdominal cocoon and preoperative diag-nosis of abdominal cocoon. Methods The characteristics of CT manifestations of AC （10 cases） were analyzed retro-spectively. Results Ten patients showed abnormal accumulation of intestinal loop or coiled into a group, found around the envelope wrapped package; 5 cases in the left part of the small intestine, abdominal in 4 cases, 1 case of right upper quadrant; 5 cases of total small package, the accumulation of abdominal bowel in 4 cases which was pie, the abdominal bowel gathered in 1 case which showed spherical. Conclusion AC findings of CT are characteristic, in combination with clinical, most cases could be diagnosed correctly before operation.