胃肠造影结合CT在小肠梗阻中的诊断价值  

作　　者：何强[1] 朱纯生[1] 袁焕初[1] 赖清媚[1] 

机构地区：[1]广东东莞市人民医院放射科,523000

出　　处：《中国社区医师（医学专业）》2012年第15期275-276,共2页

摘　　要：目的:评价胃肠造影结合CT检查在小肠梗阻中的诊断价值及临床意义。方法:23例小肠梗阻患者,分别行胃肠造影及腹部CT检查。结果:炎性粘连狭窄5例,克罗恩病6例,粪石1例,肿瘤病变11例。胃肠造影检查提示不全肠梗阻21例,完全肠梗阻2例。CT显示小肠梗阻23例,发现软组织肿块16例,诊断良性狭窄11例,恶性狭窄11例,良性狭窄误诊为恶性1例。结论:胃肠造影检查在肠梗阻的定位上有优势,尤其对判断梗阻程度上具有优越性,CT在梗阻程度的判断上有一定困难,在梗阻病因诊断方面具有优势,两者结合更有助于小肠梗阻病变的定位与定性,提高诊断准确率。Objective： To evaluate the diag- nostic value of the combination of gastrointestinal imaging and CT in small intestine obstruction. Methods： 23 patients were examined by the combination of gastrointestinal imaging and CT. Results：Inflammation stenosis was found in 5 patients, Crohn disease was found in 6 patients, excrement stone was found in 1 patient and tumor was found in 11 patients. 21 cases of incomplete small bowel obstruction and 2 cases of complete obstruction were diagnosed by gastro- intestinal imaging. 23 cases of small bowel obstruction were diagnosed and 11 patients were malignant. Conclusion ： Gastrointestinal imaging has advantage in location diagnostic value of small bowel obstruction. CT has advantage in etiological diagnosis of small bowel obstruction. The combination of gastrointestinal imaging and CT could improve the accuracy of diagnosis.

关 键 词：小肠梗阻 胃肠造影 CT检查 

分 类 号：R442.1[医药卫生—诊断学]