多层螺旋CT多平面重建诊断急性肠梗阻病因的价值  

Multiplanar Reconstruction Imaging with Multislice SpiralCT in the Evaluation of Acute Intestinal Obstruction

作　　者：刘文瑾[1] 张云[1] 刘锦萍[1] 季冬[1] 王康[1] 赵海庆[1] 张润[1] 朱荆皓[1] 

机构地区：[1]上海中医药大学附属普陀医院(上海市普陀区中心医院)放射科,200062

出　　处：《临床放射学杂志》2006年第5期439-442,共4页Journal of Clinical Radiology

摘　　要：目的探讨多层螺旋CT多平面重建对急性肠梗阻病因的诊断价值。资料与方法对83例临床疑似肠梗阻的患者,运用多层螺旋CT扫描行多平面重建成像,并将其诊断结果与手术、病理进行对照。结果83例中66例手术,对照手术病理,多层螺旋CT诊断肠梗阻的准确率为100%,肠梗阻病因诊断正确率84·8%,包括:肠道肿瘤24例,粘连性肠梗阻17例,肠扭转6例,肠系膜血管栓塞2例,胆石性肠梗阻6例,粪石性肠梗阻3例,脐疝2例,腹股沟疝3例,阑尾炎2例,腹腔脓肿1例。结论多层螺旋CT扫描多平面重建成像能更清晰地显示急性肠梗阻病变,提高了CT对急性肠梗阻病因的诊断能力。Objective To evaluate the diagnostic value of multislice spiral CT（MSCT） multiplanar reconstruction （MPR） in the detection of intestinal obstruction. Materials and Methods 83 cases with suspected of intestinal obstruction were scanned using MSCT, MPR were performed before surgery. The diagnostic results of MSCT were compared with operation and pathology results. Results MSCT findings were consistence with the results of surgery pathology in 66 of 83 cases. MSCT diagnostic accuracy of intestinal obstruction was 100%, arid the accyracy of the cause was 84.8%, including： 24 intestinal masses, 17 adhesions, 6 bowel torsion, 2 mesenteric vessel thrombosis, 6 gallstone, 3 faeces, 5 hernias, 2 appendicitis, 1 celiac abscess. Conclusion Intestinal obstruction is more clearly revealed by MPR of MSCT, which improves the diagnostic ability of acute intestinal obstruction.

关 键 词：肠梗阻 多层螺旋CT 多平面重建 

分 类 号：R816.5[医药卫生—放射医学]