口服等渗甘露醇CT小肠造影对小肠肿瘤的诊断价值  

Oral Administration Isotonia Mannitol Small Intestine Radiography to Small Intestine Tumor Diagnosis Value

作　　者：鲁观春[1] 

机构地区：[1]南方医科大学北滘医院放射科,广东省佛山市528311

出　　处：《现代医用影像学》2015年第2期237-238,共2页Modern Medical Imageology

摘　　要：目的：评价口服大剂量2.5%等渗甘露醇螺旋CT小肠造影（SCTE）在小肠肿瘤诊断中的价值。材料与方法：36例小肠肿瘤患者每人口服约1000~1500毫升2.5%等渗甘露醇后,肌注20mg山莨菪碱注射液,10~15分钟后行螺旋CT三维扫描,分析不同小肠肿瘤的表现,并比较42例传统CT扫描与SCTE的诊断结果。结果：36例患者除2例回肓部充盈欠佳外,余病例十二指肠,空肠及回肠肠腔充盈良好,对肿瘤的显示,衬托满意.SCTE检查与临床诊断符合率为94.4（34/36）,高于传统扫描78.57（33/42）。结论：SCTE是一种简便,安全,非侵袭性,有效评价小肠肿瘤的方法,能明显提高肿瘤的检出率。Purpose： Appraisal oral administration large dose 2. 5% isotonia mannitol screw CT small intestine radiography （SCTE） in small intestine tumor diagnosis value. Materials and Methods： After 36 example small intestine tumor patient each person takes orally approximately 1000 ~ 1500 milliliter 2. 5% isotonia mannitol, the intermuscular injec- tion 20mg mountain scopolamine hyoscine inoculation fluid, 10 ~ 15 minute next screw CT three dimensional scanning, the analysis different small intestine tumor performance, and compares 42 example tradition CT scanning and the SCTE diagnosis result. Result： 36 example patients return to the blind full besides 2 examples unsatisfactory, - odd case of illness duode- num, the jejunum and the ileum enteric cavity full is good, to the tumor demonstration, serves as contrast satisfies the. SCTE inspection and the clinical diagnosis coincidence rate is 94. 4 （ 34/36 ） , is higher than the tradition to scan 78.57 （ 33/42 ） Conclusion： SCTE is one kind of simple, safe, the non - attack, appraises the small intestine tumor effectively the method, can enhance the tumor to pick out obviously rate.

关 键 词：小肠肿瘤/诊断 小肠/体层摄影术 X线计算机 等渗甘露醇 

分 类 号：R735.32[医药卫生—肿瘤]