原发性肠脂垂炎多层螺旋CT表现分析

Analysisofmultislice spiralCTmanifestationsof primary enterophitisLiuYuming，Liu Yunlian.“Department ofRadiology，SandunCommunityHealthCenterofXihuDistrict，Hangzhou31Oo3O，China

【Abstract】ObjectiveTo investigate the multislice spiral CT（MSCT） features of primary enterophitis appendaitis （PEA）.MethodsThe MSCT manifestations of 23 cases with PEAconfirmed by clinical follow-up were retrospectivelyanalyzed，the location，densityandtherelationship between the lesionandtheadjacentbowel were analyzed.ResultsEleven cases were located beside the sigmoid colon，6cases were located in the cecum，3 cases beside the ascending colon and 3 cases beside the descending colon.The annular cladding was found in 2O cases， the length diameter was about 13～45mm ，theaverage length diameterwasabout 24mm ，thethickness ofthe cladding was about 1.5～3mm ，the average thickness was about 2.1mm，in 12 cases，the center of the lesion showed present punctiform or linear high density shadow，2 cases were found with thicken bowel wall.ConclusionPEA hascertain characteristics in MSCT，which can bediagnosed bycombining clinical manifestations，providing clinical diagnosis and treatment basis，avoiding long-term antibiotic use and unnecessary surgical treatment.

【Key words】 Tomography， X-ray computed; Epiloic appendagitis； Diagnosis， computer-assisted

肠脂垂炎是一种良性自限性疾病，是临床急腹症病因之一，较为少见；本病多发生于肥胖人群，近年来随着人们生活水平的提高，肥胖人群的增加，发生呈上升趋势；而CT扫描及后处理重建的广泛应用使本病的检出率得到的很大提高。（剩余5822字）