医学影像技术在急性肠系膜血管缺血性疾病诊治中的作用  

The Role of Medical Imaging Technology in the Diagnosis and Treatment of Acute Mesenteric Ischemic Disease

作　　者：李孟彬 张海佳 

机构地区：[1]空军军医大学第一附属医院消化病医院消化外科,陕西西安710032

出　　处：《医学与哲学（B）》2017年第12期15-17,共3页Medicine & Philosophy(B)

基　　金：2012年科技部国家重大科研仪器设备研制专项(子项目)(1227901);2017年陕西省自然科学基础研究计划面上项目(017JM8026)

摘　　要：医学影像技术是诊治急性肠系膜血管缺血性疾病的主要手段,其中数字减影血管造影是诊断的金标准,但是由于设备复杂、昂贵而无法在基层医院普及。基于超声、CT和MRI的无创性检查在一定程度上可以为急性肠系膜血管缺血性疾病的诊治提供帮助,但是可能因为医生的经验、肠道气体等因素而影响其敏感性。近年来基于分子影像的近红外荧光成像技术在肿瘤定位和边界判定、微循环评估和淋巴结定位等领域开始尝试应用,表现出很好的临床价值。在急性肠系膜血管缺血性疾病的诊治中也有个案报道,尤其在外科手术决策中具有很好的指导作用。Medical imaging technology is a major means of diagnosis and treatment of acute mesenteric ischemic diseases( AMI).Digital subtraction angiography is the gold standard for the diagnosis of AMI,but the equipment can not be popularized in small hospitals due to its complex and expensive. The non-invasive examinations of ultrasound,CT and MRI can be to help in the diagnosis and treatment of AMI in a certain extent,but its accuracy may be affected for the factors of the doctor's experience,gut gas etc. In recent years,the technology of near-infrared fluorescence technology based on molecular imaging is used in localizing tumor and its boundary,assessing microcirculation and finding the lymph node,and which provides a well clinical values. There are several case reports in the surgical treatment of AMI,and show a well guidance values in the making of surgical treatment decisions.

关 键 词：急性肠系膜缺血性疾病 医学影像 分子影像 外科 

分 类 号：R656.1[医药卫生—急诊医学]