多层螺旋CT扫描对小肠肿瘤的诊断价值  

DIAGNOSTIC VALUE OF MULTILAYER SPIRAL CT SCANS FOR TUMORS IN SMALL INTESTINE

作　　者：于安星[1] 周东风[1] 李宏[1] 李小川[1] 窦昭峰[1] 

机构地区：[1]青岛大学医学院,山东青岛266021

出　　处：《齐鲁医学杂志》2008年第5期418-420,共3页Medical Journal of Qilu

摘　　要：目的评价多层螺旋CT(MSCT)扫描对小肠原发性肿瘤的诊断价值及其临床意义。方法回顾性分析19例经我院病理检查证实的原发性小肠肿瘤(十二直肠和壶腹周围肿瘤除外)的临床资料。结果19例中小肠腺癌9例,间质瘤5例,恶性淋巴瘤4例,腺瘤1例。阳性检出构成比为:MSCT,78.9%(15/19);B超,15.8%(3/19);全消化道钡餐造影,42.1%(8/19)。MSCT对小肠肿瘤的检出率明显优于X线钡餐造影和B超(χ2=5.40、15.20,P<0.05、0.01)。结论MSCT扫描对小肠原发性肿瘤的诊断具有重要价值,可作为检查小肠原发性肿瘤最主要的方法。Objective To evaluate the diagnostic value of multilayer spiral CT （MSCT） for tumors in small intestine. Methods A retrospective analysis was done in 19 patients with primary tumors of small intestine confirmed pathologically, those of duodenum or periampullary were excluded. Results Of the 19 cases, adenocareinoma （9 cases）, interstitialoma （5）, malignant lymphoma （4）, and adenoma （1） were recorded. The detection rate was 78.9% （15/19） for MSCT; 15.80//00 （3/19） for ultrasonography; and 42.1% （8/19） for barium meal. MSCT is much superior to ultrasonography and barium meal （X^2=5. 40,15.20 P〈0. 05,0. 01）. Conclusion MSCT is of a great value in the detection of primary tumors in small intestine, which has become today the most important diagnostic modality of the disease.

关 键 词：体层摄影术 螺旋计算机 肠肿瘤 诊断 

分 类 号：R735.32[医药卫生—肿瘤]