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目的评价CT诊断腹腔结核的价值。方法回顾性分析经手术病理或抗痨治疗确诊的腹腔结核16例CT表现,其中男8例,女8例。年龄20～66岁,平均36.4岁。结果腹腔淋巴结肿大(n=11),肠系膜肿块(n=6),腹水(n=6,多为限制性),网膜增厚(n=7),肠壁增厚(n=6),胸水(n=2),胰腺结节(n=1)。腹腔淋巴结肿大(以肠系膜、胰周淋巴结为主),主要表现为因中央干酪样坏死而呈环形或多房样强化,并有部分淋巴结钙化,且腹腔淋巴结受累程度明显重于腹膜后间隙淋巴结。结核性腹膜炎时腹水密度较高,系膜、网膜上有斑片状及结节状病灶,肠曲粘连固定。结论密切结合临床、实验室检查及CT表现,有望提高腹腔结核诊断准确性。
Objective To evaluate the value of CT in the diagnosis of abdominal tuberculosis. Methods The CT findings of 16 cases of abdominal tuberculosis diagnosed by pathology or anti-tuberculosis treatment were retrospectively analyzed, including 8 males and 8 females. Age 20 ~ 66 years old, average 36.4 years old. (N = 6), ascites (n = 6, mostly restrictive), thickening of the omentum (n = 7), thickening of the intestinal wall (n = 6) , Pleural effusion (n = 2), pancreas nodules (n = 1). Abdominal lymph nodes (mainly mesenteric, peripancreatic lymph nodes), mainly due to central caseous necrosis showed a ring or multiple room-like enhancement, and some lymph nodes calcification, and abdominal lymph node involvement was significantly heavier than the retroperitoneal space lymph nodes . Tuberculous peritonitis when the high density of ascites, mesangial, retinal patchy and nodular lesions, intestinal song fixed adhesion. Conclusion Closely combined with clinical, laboratory tests and CT findings, is expected to improve the diagnostic accuracy of abdominal tuberculosis.