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目的探讨CT和胃肠道造影对腹膜间皮瘤(peritoneal mesothelioma,PM)的诊断价值。资料与方法回顾性分析9例经病理证实的PM患者的CT和胃肠道造影表现,并与术中所见进行比较。结果6例为弥漫型,其中4例CT和胃肠道造影表现与术中所见相符,1例CT对小病灶的显示受限,1例胃肠道造影显示病灶对胃肠壁的侵犯优于CT。3例为局限型,CT反映了病变的形态特征,但胃肠道造影缺乏特异表现。结论CT和胃肠道造影相结合有助于弥漫型PM的诊断。CT对局限型PM的诊断有一定帮助,而胃肠道造影的诊断作用却不大。
Objective To investigate the diagnostic value of CT and gastrointestinal angiography for peritoneal mesothelioma (PM). Materials and Methods The CT and gastrointestinal angiographic features of 9 patients with pathologically confirmed PM were retrospectively analyzed and compared with those seen during surgery. Results 6 cases were diffuse type, 4 cases of CT and gastrointestinal angiography were consistent with the findings in the operation, 1 case of CT showed limited display of small lesions, 1 case of gastrointestinal tract showed lesions on the gastrointestinal wall intrusion On CT. Three cases were localized, and CT reflected the morphological features of the lesions, but the gastrointestinal angiography lacked specific features. Conclusion The combination of CT and GI imaging is helpful for the diagnosis of diffuse PM. CT has some help in the diagnosis of localized PM, but gastrointestinal imaging has little diagnostic effect.