小儿结核性腹膜炎的多层螺旋CT表现

摘要

Objective : To describe and analyze CT appcarances of tuberculous pcritonitis in children, and explore the rndiagnosis and differential diagnosis of tuberculous peritonitis in children. Methods : A rctrospective analysis of clinical data rnand low-dose CT scan imagcs was performed in 21 children with tuberculous peritonitis. Results: Of the 21 patients,19 had rnperitoneum thickening and omental thickening,16 had hydroperitoneum, 19 had increased attenuation of mesenteric fat,13 rnhad bowels wall thickening, 5 had pelvic mass, 14 had enlarged lymph nodes in abdomen. Chest abnormalities in 16 cases rnwcre found. Conclusion: Tuberculous peritonitis in children has some specific CT appearances. CT examination combined rnwith clinical manifestations is helpful for most accurate diagnosis and differential diagnosis of tuberculous peritonitis in chilrndren.%目的:探讨小儿结核性腹膜炎的多层螺旋CT影像特点及其诊断和鉴别诊断价值.方法:回顾性分析21例经临床确诊的小儿结核性腹膜炎的临床资料及影像资料.结果:CT表现为腹膜增厚或多发结节19例,大网膜结节状或不规则增厚19例,腹水16例,肠系膜脂肪密度增高19例,肠壁增厚13例,盆腔肿块5例,腹部淋巴结增大14例,胸部发现病灶16例.结论:小儿结核性腹膜炎的CT表现具有一定特征性,结合临床资料,有助于诊断和鉴别诊断.