川北医学院学报2016，Vol.31Issue(5)：737-740,4.DOI:10.3969/j.issn.1005-3697.2016.05.033
肿瘤性与结核性腹腔积液CT鉴别征象探讨
Discussion of the CT differential diagnosis between the tumor and tubercu-lous ascites
谭书德 1池祥波 2李恩春 1刘敏 1李瑾3
作者信息
- 1. 重庆市綦江区人民医院CT室，重庆 401420
- 2. 重庆市綦江区人民医院心内科，重庆 401420
- 3. 重庆市綦江区人民医院检验科，重庆 401420
- 折叠
摘要
Abstract
Objective:To identify neoplastic and tuberculous peritoneal effusion from CT signs.Methods:The CT performances of 60 patients with peritoneal effusion proved by pathology who were hospitalized from January 201 1 to December 2013 were retrospec-tively analyzed.Results:(1 )Little to medium amount of peritoneal effusion accounted for 91 .3% of all tuberculous cases(21 /23 );Medium to large amount of peritoneal effusion accounted for 91 .9% of all neoplastic cases(33 /37)There was a significant difference between the groups.(2)In terms of CT value,78.3% of all cases were greater than 20 Hu (18 /23);In terms of CT value,81 .1 % of all cases were less than 20 Hu(30 /37);There was a significant difference between the groups.(3)Thickened peritoneum accounted for 74.0% of all tuberculous peritoneal effusion cases(17 /23);The irregular or tubercular thickening of peritoneum with no or little en-hancement accounted for 78.4% of all neoplastic peritoneal effusion cases (29 /37 );There was a significant difference between the groups.(4)The mass-like or smudged change of omentum and mesentery accounted for 74.0% of all tuberculous peritoneal effusion ca-ses(17 /23);The omentum change with pancake thickening and serious adhesion accounted for 73.0% of all neoplastic peritoneal effu-sion cases(27 /37);There was a significant difference between the groups.(5)The percentages of lymph nodes with ring-like enhance-ment and calcification in the mesenter to tuberculous peritoneal effusion cases were 47.8%(1 1 /23)and 56.5%(13 /23)respectively. In the same way,their percentages to neoplastic peritoneal effusion were 8.1 %(3 /37)and 5.4%(2 /37)respectively;there was a sig-nificant difference between the groups.(6)The floatation or aggregation of intestina accounted for 69.6% of all tuberculous peritoneal effusion cases(16 /23);The radial distribution of intestina accounted for 45.9% of all neoplastic peritoneal effusion cases(17 /37 ). There was a significant difference between the groups.Conclusion:Observing and analyzing CT signs carefully are conductive to distin-guish neoplastic peritoneal effusion from tuberculous peritoneal effusion.关键词
结核性/肿瘤性/腹腔积液/CT征象Key words
Tuberculosis/Neoplastic/Peritoneal effusion/CT signs分类
医药卫生引用本文复制引用
谭书德,池祥波,李恩春,刘敏,李瑾..肿瘤性与结核性腹腔积液CT鉴别征象探讨[J].川北医学院学报,2016,31(5):737-740,4.
