食生山楂引起肠石性小肠梗阻的CT诊断  

CT Diagnosis on Enterolith Small Bowel Obstruction Caused by Eating Raw Hawthorn

作　　者：马延玉[1] 

机构地区：[1]山东铝业公司医院放射科,淄博市255069

出　　处：《职业与健康》2011年第7期831-833,共3页Occupation and Health

摘　　要：目的探讨食用生山楂引起肠石性肠梗阻的CT诊断价值。方法对山东铝业公司医院2006—2009年间收治的13例食用生山楂引起的肠石性小肠梗阻的临床资料进行了CT影像学表现回顾性分析。结果 13例均有生食山楂病史。11例CT表现为完全性和不完全性肠梗阻改变,2例仅表现阶段性局限小肠轻度扩张积水。其中9例CT见"包裹性粗纱布网眼征",7例见小肠粪中山楂核形成"宝石镶嵌征",2例由于山楂石引起肠扭转CT表现,3例腹水及网膜周围渗出征象,术后证实肠管部分坏死,5例合并胃山楂石症。结论 CT平扫检查具有快速简便,对肠石症的病因、部位和梗阻程度有较高的诊断价值,对指导临床治疗及手术具有重要意义。[Objective]To discuss the diagnostic value of CT on enterolith small bowel obstruction caused by eating raw hawthorn.[Methods]CT imaging data of 13 patients with enterolith small bowel obstruction caused by eating raw hawthorn in Hospital of Shandong Aluminum Corporation from 2006 to 2009 were analyzed retrospectively.[Results]All of patients had the history of eating raw hawthorn.CT revealed complete or incomplete intestinal obstruction in 11 cases,and local small intestine expansion and hydrops in 2 cases.9 cases showed loculated mesh sign,and 7 cases showed cameo incrustation sign formed by seeds of hawthorn in mall bowel feces,and bowel volvulus caused by hawthorn enterolith occurred in 2 cases.3 cases showed ascites and omentum exudation,which partial intestinal necrosis had been proved by operation.5 cases were complicated with hawthorn gastrolithiasis.[Conclusion]CT plain scan is quick and simple,it has a high diagnostic value for causes,position and obstruction degree of enterolith,and it has an important significance on clinical treatment and operation.

关 键 词：山楂石 肠梗阻 影像学诊断 CT 

分 类 号：R445[医药卫生—影像医学与核医学]