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肝硬化患者胃肠壁增厚增强CT表现 [中文引用][英文引用]

Enhanced CT features of gastrointestinal wall incrassation in patients with liver cirrhosis

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作者：郑海澜张国华董伟华

作者(英文)：

单位：浙江省台州市第一人民医院

单位(英文)：Taizhou First People’s Hospital Zhejiang Province

关键词：肝硬化门静脉高压性胃肠病体层摄影术 X线计算机

关键词(英文)：Liver cirrhosis Portal hypertensive gastropathy and enteropathy Tomography X-Ray computed

分类号：

出版年·卷·期（页码）：2014·4·第6期（256-258）

DOI: 10.3877/cma.j.issn.2095-2015.2014.06.003

-----摘要：-------------------------------------------------------------------------------------------

目的探讨肝硬化患者胃肠壁增厚增强CT表现。方法分析2013年4至11月浙江省台州市第一人民医院收治的59例肝硬化全腹部CT增强患者增强CT表现。将胃壁厚度>10 mm、小肠及结肠肠壁厚度>3 mm作为胃、小肠及结肠壁增厚的判断标准。结果 59例肝硬化患者中发现43例（72.9%）患者胃肠壁增厚。空肠与升结肠是胃肠壁增厚最好发部位，胃肠壁增厚表现为同心性、均匀性强化。结论肝硬化患者腹部增强CT扫描常发现胃肠壁增厚改变，常表现为多段肠管累及，以空肠及升结肠多见。

-----英文摘要：---------------------------------------------------------------------------------------

Objective To investigate the enhanced CT features of gastrointestinal wall incrassation in patients with liver cirrhosis. Methods Abdominal enhanced CT features of 59 patients with liver cirrhosis in our hospital from April 2013 to November 2013 were analyzed. Stomach wall thickness＞10 mm, and small intestine and colon wall thickness＞3 mm were the judgement standard. Results Forty-three cases (72.9%) were found with gastrointestinal wall thickening. Jejunum and ascending colon were the predilection sites. Gastrointestinal wall thickening showed concentric, homogeneous enhancement. Conclusion Abdominal enhanced CT scan of patients with liver cirrhosis often finds gastrointestinal wall thickening. It often involves in multiple intestinal tubes, especially in jejunum and ascending colon.

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