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目的:探讨原发性肠脂垂炎(PEA)的影像学特点及诊断价值。方法:回顾性分析3例不同部位PEA患者的临床、影像资料。结合文献讨论其影像学特点。结果:3例PEA中,1例位于乙状结肠旁,1例位于回盲部,1例位于升结肠旁,3例CT平扫表现为结肠旁卵圆形脂肪密度病灶,边缘见环形高密度影,病灶中央见点、线状高密度。消炎治疗效果明显,避免了手术干预。结论:PEA的CT表现具有一定的特征性,CT检查对本病的诊断及鉴别诊断具有重要价值。
Objective: To investigate the imaging features and diagnostic value of primary intestinal obesity (PEA). Methods: The clinical and imaging data of 3 PEA patients with different sites were retrospectively analyzed. Combined with the literature to discuss its imaging features. Results: In 3 cases of PEA, 1 was located in the sigmoid colon, 1 in the ileocecal region, 1 in the ascending colon, 3 in the CT plain scoliosis oval fat density lesions, the edge of the see ring high density, See the focus of the lesion, linear high density. Anti-inflammatory treatment is obvious, to avoid surgery intervention. Conclusion: The CT findings of PEA have certain characteristics. CT examination is of great value in the diagnosis and differential diagnosis of this disease.