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[目的]探讨多层螺旋CT(MSCT)在诊断小肠脂肪瘤中的应用价值。[方法]总结16例小肠脂肪瘤患者MSCT诊断与手术病理对照资料,分析MSCT表现。[结果]16例患者经手术病理证实小肠脂肪瘤共25个,位于十二指肠4例,空肠10例,回肠1例,十二指肠及空肠均有1例。5例为多发脂肪瘤。在CT图像中,所有脂肪瘤均表现为脂性占位。除1例空肠肠壁浆膜下脂肪瘤术前CT未诊断出,其余15例均确诊。[结论]MSCT对小肠脂肪瘤有较高的检出及定性诊断能力。
[Objective] To investigate the value of multi-slice spiral CT (MSCT) in the diagnosis of small bowel lipoma. [Method] The data of MSCT diagnosis and operation and pathology in 16 patients with lipoma of small intestine were summarized and MSCT was analyzed. [Results] Twenty-six patients were confirmed by pathology and pathology of 25 cases of small intestinal lipoma, located in the duodenum in 4 cases, jejunum in 10 cases, ileum in 1 case, duodenum and jejunum in 1 case. Five cases were multiple lipomas. In the CT images, all lipomas showed fat-containing lesions. In addition to 1 case of jejunal intestinal subserosa lipoma preoperative CT was not diagnosed, the remaining 15 cases were diagnosed. [Conclusion] MSCT has a high detection and diagnostic ability for small intestinal lipoma.