多层螺旋CT在肠梗阻诊断中的应用价值  

Application value of MSCT in diagnosing intestinal obstruction

作　　者：周海军[1] 欧朝文[1] 黄小伟[1] 陈德平[1] 李卫平[1] 

机构地区：[1]郴州市第一人民医院放射科,湖南郴州423000

出　　处：《湘南学院学报（医学版）》2010年第4期30-33,共4页Journal of Xiangnan University（Medical Sciences）

摘　　要：目的分析肠梗阻的多层螺旋CT(MSCT)表现及特点,探讨MSCT的诊断价值。方法回顾性分析59例各种原因所致肠梗阻病例的腹部X线平片、MSCT及临床资料,将X线平片、MSCT与手术/内窥镜活检病理结果进行对照分析。结果肠道肿瘤或肿瘤性病变(癌、间质瘤、淋巴瘤、息肉等)17例(28.8%),肠粘连23例(39%),腹腔/肠炎症性病变(小肠克罗恩氏病、阑尾脓肿、腹壁脓肿、盆腔炎、小肠/结肠憩室炎等)9例(15.2%),腹疝(腹外疝)5例(8.5%),先天性巨结肠2例,肠扭转2例,肠套叠1例。腹部X线平片与MSCT准确显示肠梗阻程度病例分别为42例(71.2%)和55例(93.2%)。结论 MSCT在明确肠梗阻的病因、梗阻部位及严重程度等方面具有明显的价值优势,能为临床治疗方案的选择提供可靠依据。Objective To analyze the MSCT findings and features of intestinal obstruction and to study the value of MSCT in the Diagnosis of patients with suspected intestinal obstruction. Methods The plain abdominal Radiography and MSCT findings and clinical materials In 59 cases with intestinal obstruction were analyzed Restrospectively, and campared with the results of Surgery pathology and endoscopy. Results The bowel tumor or masses （ carcinoma, gastro - intestinal stromal tumors, Lymphoma, polypus, et al） 17 cases （28.8 % ）, adhesion 23 cases （39%）, inflammation （Crohn disease, appendiceal abscess, napes abscess, pelvic inflammation, small bowel/ colon diverticulitis, et al） 9 cases （15.2%）, hernias （external hernias） 5 cases （8.5%）,huge colon of congenital 2 cases, intestine torsion 2 cases, and intussusception 1 cases. Plain film and MSCT made accurate Diagnosis in 42 （71.2%） and 55 cases （93.2%）, respectively. Conclusion MSCT has valuable advantage in identifying the site, level and cause of obstruction, and provide suggestions for the therapeutic planning.

关 键 词：MSCT 肠梗阻 X线摄影术 

分 类 号：R814.42[医药卫生—影像医学与核医学]