消化道碘水造影结合CT后重建对肠梗阻的诊断价值  

Diagnostic Value of Iodine Solution Gastroenterography Combined with CT Post-reconstruction for Intestinal Obstruction Diagnosis

作　　者：储伟 曹阳 夏云宝[2] 耿承军[2] 

机构地区：[1]无锡市惠山区人民医院医学影像科,江苏无锡214187 [2]解放军101医院医学影像科,江苏无锡214044

出　　处：《医疗卫生装备》2014年第3期75-77,共3页Chinese Medical Equipment Journal

摘　　要：目的:探讨碘水结合CT对肠梗阻的诊断价值。方法:对48例肠梗阻患者例行胸腹部联合摄片,然后行全消化道碘水造影,动态观察梗阻平面及性质;后行全腹部CT平扫检查,对扫描所得薄层数据行VR及MPR重建;最后得出诊断结论。结果:48例患者中,42例诊断明确,6例未能明确诊断。结论:碘水结合CT平扫检查对粘连性、粪石性、炎性、肿瘤等不全性肠梗阻的诊断具有良好意义,对绞窄性肠梗阻诊断效果较差。Objective To investigate the diagnostic value of iodine solution gastroenterography combined with CT for intestinal obstruction. Mothods Totally 48 patients with intestinal obstruction underwent thoraco-abdominal radiography and iodine solution gastroenterography. The site and nature of the obstruction were observed. Then the patients went through abdominal CT scanning, and VR and MPR reconstruction was performed for the acquired slice data to form the diagnosis. Results Of the 48 cases, 42 ones were definitely diagnosed and 6 ones not. Conohtmion Iodine solution gastroenterography combined with CT scanning behaves well in the diagnosis of incomplete intestinal obstruction such as the ones of adhesive, stercoral, inflammatory and tumoral, while not so well in the diagnosis of strangulated intestinal obstruction.

关 键 词：肠梗阻 数字成像碘水造影 CT 后重建 

分 类 号：R574.62[医药卫生—消化系统]