多排螺旋CT在肠梗阻诊治中的价值  

Evaluation of Multi-slice spiral CT in the diagnosis and treatment of intestinal obstruction

作　　者：周志敏[1] 陈正荣[2] 苏晓娟[1] 王鑫[1] 

机构地区：[1]苏州大学附属第二医院影像科,江苏苏州215004 [2]苏州大学附属第二医院普外科,江苏苏州215004

出　　处：《中国现代医药杂志》2013年第2期37-40,共4页Modern Medicine Journal of China

摘　　要：目的研究肠梗阻急诊病例的诊疗过程,评估MDCT在肠梗阻诊治中的价值。方法回顾性研究80例肠梗阻病例,以及MDCT三维重建影像学资料。结果急诊病例因CT检查而改变治疗方案的比例为18.7%,并且能够为肿瘤性肠梗阻提供制定治疗方案的依据,为肠梗阻手术指征提供判断依据,MDCT判断肠绞窄的敏感性100%,特异性58.3%。结论 MDCT是诊断不明或存在并发症的肠梗阻必须的评估手段。Objective To study intestinal obstruction of emergency cases of diagnosis and treatment process,and evaluate the value of MDCT in intestinal obstruction diagnosis and treatment.Methods Retrospectively studied 80 cases of intestinal obstruction,and MDCT three-dimensional reconstruction imaging data.Results In emergency cases,after MDCT examination,the proportion of the changing theraputic schedule was 18.7%.Provided the basis for treatment of tumor intestinal obstruction and judgement of surgical indications.The sensitivity of MDCT diagnosis of intestinal strangulation was up to 100% and the specificity was 58.3%.Conclusion MDCT is necessary assessment methods in the judgement of unclear diganosis or concurrent complication intestinal obstruction.

关 键 词：MDCT 肠梗阻 肠绞窄 影像诊断 

分 类 号：R656.7[医药卫生—外科学]