64层螺旋CT对肠梗阻的诊断价值  

The diagnostic value of intestinal obstruction by 64-slice spiral CT

作　　者：朱刚明[1] 谭琦瑄[1] 邹玉林[1] 李兆勇[1] 吴绍腾[1] 

机构地区：[1]广东省东莞东华医院,523013

出　　处：《实用医技杂志》2013年第7期701-704,共4页Journal of Practical Medical Techniques

摘　　要：目的探讨64层螺旋CT对肠梗阻的诊断价值。方法收集49例经手术病理或临床证实肠梗阻患者的64层CT检查资料,其中42例为单纯平扫,7例在平扫的基础上行两期增强扫描。采用多平面重建(MPR)、容积追踪等技术对资料进行分析。结果 49例肠梗阻病例中炎症或术后粘连21例,肠道肿瘤12例,肠扭转8例,肠壁水肿缺血8例,腹股沟疝3例,结肠息肉1例,卵巢黏液性囊腺瘤1例,子宫内膜异位囊肿压迫肠管1例,腹膜炎伴麻痹性肠梗阻1例,回结型肠套叠1例。CT横轴位结合MPR及容积追踪技术能显示梗阻部位及病因。结论 64层螺旋CT对肠梗阻的诊断具有较明显的优势,在一定程度上可作为明确肠梗阻部位和病因的首选检查。Objective To investigate the diagnostic value of intestinal obstruction by 64-slice spiral CT. Methods Forty-nine cases were confirmed by pathology or clinical intestinal obstruction in patients with 64-slice spiral CT examination data, of which 42 cases were only plain scan, 7 eases based on the plain for two enhanced scan. Using MPR, volume tracking technical suppory, the data were analyzed. Results Forty-nine cases of intestinal obstruction in 21 cases of inflammatory or postoperative adhesions; intestinal tumor in 12 cases; 8 cases of volvulus; 8 cases of ischemic bowel wall edema; inguinal hernia in 3 cases; 1 case of colon polyps; ovarian mucinous cystadenoma, endometrial cyst and 1 ease of bowel compression; peritonitis with paralytic ileus in 1 case, 1 case of intussusception back junction. Axial CT combined with MPR and volume tracking could show the location and cause of obstruction. Conclusion 64-slice spiral CT diagnosis of intestinal obstruction has obvious advantages, to a certain extent, to location and cause of intestinal obs- truction as the clear choice for inspection.

关 键 词：肠梗阻 体层摄影术 螺旋计算机 多平面重建 曲面重建 

分 类 号：R816.5[医药卫生—放射医学]