CT与超声检查对结肠癌致急性肠梗阻诊断价值的比较  

The Comparison of Diagnostic Value between CT and Ultrasounic Examination in Acute-Ileus Caused by Colonic Carcinoma

作　　者：周海[1] 徐冰[1] 徐霓霓[1] 周楠[1] 

机构地区：[1]首都医科大学附属北京天坛医院放射科

出　　处：《首都医科大学学报》2006年第6期824-825,共2页Journal of Capital Medical University

摘　　要：目的探讨CT对结肠癌致急性肠梗阻的诊断价值。方法回顾性分析42例结肠癌致急性肠梗阻患者的CT和超声检查结果。结果在42例结肠癌致急性肠梗阻患者中,超声诊断结果为:29例有不同程度腹腔积液,其中16例腹部有包块,只有5例提示包块与肠道关系密切,未有明确结肠癌诊断病例。CT诊断结果为:均有肠梗阻征象,20例升结肠占位,5例结肠肝曲占位,4例横结肠占位,5例结肠脾曲占位,8例降结肠占位。结论CT对结肠癌致急性肠梗阻诊断较为敏感和准确。Objective To compare the diagnostic value between CT and ultrasound examination in acute-ileus caused by colonic carcinoma. Methods The results with 42 cases between acute-ileus caused by colonic carcinoma were analyzed retrospectively. Results In 42 cases of acute-ileus caused by colonic carcinoma, the ultrasound examination shoed 29 cases of celiac effusion, 16 cases of celiac mass, only 5 cases suggested the mass related to colon, no ileus diagnosed. CT shoed all cases with ileus sign, 20 cases mass in ascending colon, 5 cases in right flexure of colon, 4 cases in transverse colon, 5 cases in left flexure of colon, 8 cases in descending colon. Conclusion CT was more sensitive and accurate in diagnoses of acute-ileus caused by colonic carcinoma.

关 键 词：结肠癌 肠梗阻 CT 超声 

分 类 号：R816.5[医药卫生—放射医学]