多层螺旋CT诊断成年人肠套叠  

Multislice CT Diagnosis of Adult Intussusception

作　　者：张国华[1] 郑素君[1] 李旻[1] 陈云奎[1] 郑辉[1] 

机构地区：[1]台州市第一人民医院放射科,浙江318020

出　　处：《放射学实践》2010年第2期182-185,共4页Radiologic Practice

摘　　要：目的:探讨多层螺旋CT(MSCT)对成年人肠套叠的诊断价值。方法:回顾性分析11例经手术治疗证实的成年人肠套叠患者CT检查资料。结果:成年人肠套叠的CT表现为靶型肿块,8字形肿块,肾形肿块或彗星征,CT发现原发病变6例。结论:成年人肠套叠的临床表现常不典型,易漏诊,CT表现有一定的特征,可以明确诊断,对原发病变的发现及定性有一定的难度,但对脂肪瘤引起的肠套叠能明确诊断。Objective：To investigate the value of CT in the diagnosis of adult intussusception. Methods：The CT ima ging findings of eleven cases with pathologically proven adult intussusception were retrospectively reviewed. Results： The clinical symptoms of adult intussusception were atypical. On CT scanning, target sign,＂ 8＂-like tumor sign, kidney like tumor sign and comet tail sign were demonstrated, and 6 primary lesions were dectected. Conculsion ： The clinical manifestations of adult intussusception were not typical, being easily misdiagnosed, while CT scans may help to make early diagnosis. There were some limitations in the detection and characterization of primary lesions, but CT can make definite diagnosis for adult intussusception secondary to lipoma.

关 键 词：体层摄影术 X线计算机 成年人 肠套叠 

分 类 号：R656.7[医药卫生—外科学] R816.5[医药卫生—临床医学]