目的 探析肠系膜脂膜炎的临床 症状、CT影像表现及病理特点。方法 收 集我院2012年1月-2015年7月收治23例肠 系膜脂膜炎患者作为研究对象，均行多 层螺旋CT扫描，总结患者临床症状、CT 影像学表现及病理特点。结果 肠系膜脂 膜炎临床症状以腹胀、上腹痛、发热及 消瘦、纳差等为主要表现。23例肠系膜 脂膜炎患者中，11例炎性渗出型、7例纤 维化型、5例脂肪坏死型。CT共检出17 例，检出率为73.9%(17/23)，其中8例炎 性渗出型、5例纤维化型、4例脂肪坏死 型。结论 肠系膜脂膜炎的CT表现有一定 特异性，且为无创、方便、廉价检查方 法，通过鉴别诊断排除其它疾病后通常 可初步确诊，若有所怀疑且无法排除其 它疾病，则可行手术或活检明确。

Objective To explore the clinical symptoms, CT imaging manifestations and pathologic features of mesenteric panniculitis. Methods Selected our hospital from January 2012 to July 2012, 23 cases of patients with mesenteric panniculitis as the research object, all patients using multislice computed tomography (CT) scan, summarizes the patient's clinical symptoms, CT imaging findings and pathologic characteristics. Results The clinical symptoms of mesenteric panniculitis with abdominal distension, abdominal pain, fever, anorexia and weight loss as the main performance. 23 cases of mesenteric panniculitis patients, 11 cases of inflammatory exudative type, 7 cases of type 5 cases of fat necrosis, fibrosis type. Computed tomography (CT) were detected in 17 cases, the detection rate was 73.9% (17/23), of which 8 cases of inflammatory exudative type, 5 cases of fibrosis, 4 cases of fat necrosis. Conclusion CT manifestations of mesenteric panniculitis has certain specificity, and check the method for noninvasive, convenient, cheap, by excluding other diseases after differential diagnosis usually preliminary confirmed, if in doubt and cannot be ruled out other diseases, clear surgery or biopsy is feasible.