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目的 探讨CT对右下腹占位性病变的诊断价值。材料与方法 对 5 4例临床考虑为右下腹肿瘤或非肿瘤性病变的患者行CT检查 ,除 1例回盲部肠结核外 ,均经手术及病理证实。结果 5 4例中恶性病变 3 8例 ,其CT表现为软组织肿块和弥漫性肠壁增厚 ,包括肠外压性软组织肿块 ,肠周浸润 ,增强扫描检查呈明显均匀或不均匀强化。良性病变 16例 ,主要是炎症性病变 ,CT表现为肠壁增厚 ,周围筋膜增厚 ,少有软组织肿块 ,轻或中等度强化。结论 CT对右下腹的肿瘤和非肿瘤性病变的诊断和鉴别诊断具有一定的价值。
Objective To investigate the diagnostic value of CT in the right lower quadrant space occupying lesion. MATERIALS AND METHODS Fifty-four patients with clinically considered right lower quadrant tumors or non-neoplastic lesions underwent CT examination. All cases were confirmed by operation and pathology except one case of ileocecal intestinal tuberculosis. Results 38 cases of malignant lesions in 38 cases, the CT showed soft tissue mass and diffuse intestinal wall thickening, including extra-parenteral soft tissue mass, perivascular infiltration, enhanced scanning was significantly homogeneous or uneven enhancement. 16 cases of benign lesions, mainly inflammatory lesions, CT showed thickening of the wall, the surrounding fascia thickening, rare soft tissue mass, light or moderate enhancement. Conclusion CT has certain value in the diagnosis and differential diagnosis of tumor and non-neoplastic lesions in the right lower quadrant.