• 1.四川大學(xué)華西醫(yī)院放射科(成都610041);;
  • 2.四川省南充市第二人民醫(yī)院放射科(南充637000);;
  • 3.四川省眉山市第二人民醫(yī)院放射科(眉山620010);

【摘要】目的結(jié)合解剖學(xué)基礎(chǔ),探討腹膜后間隙感染性病變的多排螺旋CT表現(xiàn)。
方法收集30例CT掃描發(fā)現(xiàn)腹膜后間隙存在異常、經(jīng)臨床、實(shí)驗(yàn)室檢查等證實(shí)為感染性病變的病例,分析其CT和臨床資料。CT檢查包括平掃和增強(qiáng)后門靜脈期掃描,并對CT數(shù)據(jù)進(jìn)行冠、矢狀位的多平面圖像重組等后處理。
結(jié)果胰腺炎和腎臟感染是造成腹膜后間隙感染性改變的主要病因。依解剖區(qū)域的不同,炎癥在腹膜后不同間隙內(nèi)(腎旁前間隙、腎周間隙和腎旁后間隙)呈現(xiàn)不同的分布特點(diǎn)和相應(yīng)的CT征象; 炎癥的跨間隙蔓延現(xiàn)象也較普遍。
結(jié)論多排螺旋CT可以全面、準(zhǔn)確地顯示腹膜后間隙感染性病變的原發(fā)病灶、毗鄰組織器官、炎癥蔓延范圍等解剖細(xì)節(jié)。

引用本文: 印隆林,宋彬,雷志華,張華山. 腹膜后間隙感染性病變的多排螺旋CT征象分析. 中國普外基礎(chǔ)與臨床雜志, 2005, 12(1): 87-91. doi: 復(fù)制

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  1. 1. 陳熾賢主編. 實(shí)用放射學(xué) [M]. 第2版. 北京: 人民衛(wèi)生出版社,1998∶570~572.
  2. 2. 閔鵬秋.腹膜后間隙的影像學(xué)診斷一個曾長期被疏忽甚至被遺忘的角落 [J]. 中華放射學(xué)雜志, 2002; 36(10)∶871.
  3. 3. Meyers MA. Dynamic radiology of the abdomen:normal and pathological anatomy [M]. 2nd ed. New York: SpringerVerlag, 1976∶113-194.
  4. 4. Kneeland JB, Auh YH, Rubenstein WA, et al. Perirenal spaces: CT evidence for communication across the midline [J]. Radiology, 1987; 164(3)∶657.
  5. 5. Raptopoulos V, Touliopoulos P, Lei QF, et al. Medial border anatomical communications of the perirenal space: CT and anatomic correction [J]. Radiology,1997; 205(3)∶777.
  6. 6. 閔鵬秋,伍兵. 腹膜后間隙放射解剖學(xué)研究進(jìn)展 [J]. 中國醫(yī)學(xué)計算機(jī)成像雜志, 1999; 5(4)∶269.
  7. 7. Aizenstein RI, Wilbur AC, O’Neil HK. Interfascial and perinephric pathways in the spread of retroperitoneal disease: refined concepts based on CT observations [J]. AJR, 1997;168(3)∶639.
  8. 8. Raptopoulos V, Kleinman P, Marks S, et al. Renal Fascial Pathway: posterior extension of pancreatic effusions within the anterior pararenal space [J]. Radiology,1986; 158(2)∶367.
  9. 9. Mindell HJ, Mastromatteo JF, Dickey KW, et al. Anatomic communications between the three retroperitoneal spaces: determination by CTguided injections of contrast material in cadavers [J]. AJR, 1996; 166(3)∶722.
  10. 10. Korobkin M, Silveman PM, Quint LE, et al. CT of the extraperitoneal space: normal and fluid collections [J]. AJR,1992; 159(11)∶933.
  11. 11. 李民利, 金征宇. 多層螺旋CT血管成像技術(shù)臨床應(yīng)用進(jìn)展 [J]. 國外醫(yī)學(xué)臨床放射學(xué)分冊,2003; 26(4)∶255.
  12. 12. Fuchs TO, Kachelriess M, Kalender WA. System performance of multislice spiral computed tomography [J]. IEEE Eng Med Biol Mag,2000; 19(5)∶63.