低张直肠水充盈法CT检查在盆腔病变诊断中的价值  

The Value of Hypotonic Water Filling of Rectum CT Examination in Diagnosis of Pelvic Lesions

作　　者：严福华[1] 周康荣[1] 陈刚[1] 

机构地区：[1]上海医科大学附属中山医院放射科

出　　处：《中国医学计算机成像杂志》1996年第1期32-34,共3页Chinese Computed Medical Imaging

摘　　要：目的：进一步了解低张直肠水充盈法ＣＴ检查在盆腔病变诊断中的价值和ＣＴ表现。材料和方法：１６例经肠镜或钡剂灌肠检查诊断为＂粘膜下肿块＂或＂腔外肿块＂者，行低张、温盐水１０００ｍｌ保留灌肠，仰卧位做平扫和增强扫描，层厚间隔１０ｍｍ。所有病例经手术或随访证实。结果：低张直肠水充盈ＣＴ图像清晰显示了肠腔和肠壁的变化。所有病例均找到了原发病变且精确显示了直肠和病变间的关系。ＣＴ对病变定位准确性为１００％。结论：低张直肠水充盈ＣＴ检查对盆腔病变的诊断（包括直肠）较常规ＣＴ能提供更准确可靠的影像学信息，值得推广应用。To furthermore understand the value of hypotonic water filling of rectum CT examination in the diagosis of the pelvic lesions and the CT appearences. Materials and Methods: Sixten cases with 'submucous mass' or 'extraluminal mass' diagnosed by endoscopy or barium enema were undergone a hypotonitic retention enema with 1000 ML warmed scat water;then kept in supine position, Pre and post contrast CT scanning were performed with 10mm scan thickness and the same space interval. All cases were proved by surgical operation or follow up.Results: CT images clearly showed the changes of lumen and the wall after hypotonic water filling of rectum. the primary lesions of all cases were detected correctly and the relationship between the rectums and the lesions could be displayed precisely. The localization of lesions by CT scan was 100% accurate. Conclusion: Hypotonic water filling of rectum CT examination could provide more accurate and reliable imaging massages than conventional CT in the diagnosis of pelvic lesions (including rectum). it is worth to apply in clinic widely.

关 键 词：低张直肠水充盈 CT 盆腔病变 

分 类 号：R816.5[医药卫生—放射医学]