急性血运性肠梗阻的CT表现  

CT findings in acute ileus of mesenteric vascular obstruction

作　　者：钱帮伟[1] 赵振国[1] 谢秀海[1] 隋海晶[1] 陈恩龙[1] 黄玉章[1] 

机构地区：[1]上海市浦东新区人民医院放射科,上海201299

出　　处：《实用放射学杂志》2013年第2期225-227,共3页Journal of Practical Radiology

基　　金：上海市浦东新区卫生系统领先人才培养基金（PWR12010-02）.

摘　　要：目的提高多层螺旋CT对急性血运性肠梗阻的诊断水平。方法采用64层螺旋CT对19例肠梗阻患者行肠系膜动脉血管造影（CTA）及肠系膜静脉血管造影（CTV）。结果19例患者均明确诊断为急性血运性肠梗阻，其中肠系膜动脉血栓或栓，塞15例，肠系膜静脉栓塞4例。结论急性血运性肠梗阻CT表现有一定的特征性，肠系膜CT血管造影（CTA或CTV）对血运性肠梗阻的诊断准确率较高。Objective To improve the multi-slice spiral CT diagnosis of intestinal obstruction caused by acute mesenteric vascular obstruction Methods 19 cases of intestinal obstruction with mesenteric artery angiography （ CTA ） and mesenteric venous angiogra- phy （CTV） by using 64-slice spiral CT were presented. Results 19 patients were diagnosed as intestinal obstruction with acute re- vascularization,among them, the inferior mesenteric artery thrombosis or embolism were found in 15 cases, mesenteric venous thrombosis in 4 cases. Conclusion Acute revascularization ileus has some CT characteristics , the diagnosis accuracy rate of CT angi- ography （ CTA or CTV ） on mesenteric vascular obstruction of intestinal obstruction is very high.

关 键 词：肠梗阻 计算机体层成像 血管造影术 

分 类 号：R574.2[医药卫生—消化系统] R814.42[医药卫生—内科学]