螺旋CT多平面重建技术在肠梗阻中医证候分型中的应用  

The Application of Spiral CT Multiplanar Reconstruction Technique in the TCM Syndromes of Ileus

作　　者：吴扬州 WU Yangzhou(Radiology Department, the Fourth Affiliated Hospital of China Medical University, Liaoning Province, Shenyang 110032, China)

机构地区：[1]中国医科大学附属第四医院放射线科,辽宁沈阳110032

出　　处：《中国中医药现代远程教育》2018年第10期108-109,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨肠梗阻不同中医证候分型中CT仿真内镜联合多平面重建技术的意义。方法肠梗阻患者100例,术前均实施多层螺旋CT仿真内镜检查联合多平面重建检查。观察CT诊断符合率,总结CT诊断肠梗阻不同证候分型的影像学特点。结果 100例患者:麻痹性肠梗阻9例、肠套叠15例、肠扭转21例、肠粘连47例、肠道肿瘤8例。CT仿真内镜检查联合多平面重建检查与手术或内镜病理结果相比,符合率96.0%。与手术病理结果相比,CT诊断肠梗阻发病部位的符合率100.0%。中医证候分型:脏腑失调型15例、气血不足型14例、里热内结型26例、气滞血瘀型45例,肠梗阻不同中医证候分型的CT影像学特点差异显著。结论肠梗阻不同中医证候分型应用CT仿真内镜联合多平面重建技术诊断的效果显著。Objective To explore the significance of CT simulation endoscopy combined with multiplanar reconstruction in different TCM syndromes of intestinal obstruction. Methods In 100 patients with intestinal obstruction, multi-level spiral CT was performed before operation to check the multi-plane reconstruction. The imaging characteristics of different syndromes of CT in diagnosis of intestinal obstruction were observed. Results There were 9 cases of paralytic intestinal obstruction, 15 cases of intussusception, 21 cases of intestinal torsion, 47 cases of intestinal adhesion and 8 cases of intestinal tumor. CT simulated endoscopic examination combined with multi-plane reconstruction was compared with surgical or endoscopic pathological results, with coincidence rate of96.0%. Comparing with the pathological results of the operation, the coincidence rate of CT diagnosis of intestinal obstruction was100.0%. Classification of syndromes： viscera disorder type 15 cases, insufficiency of qi and blood type in 14 cases, hot junction in 26 patients, 45 cases of qi stagnancy and blood stasis syndrome, intestinal obstruction in different TCM syndrome classification of CT imaging features of significant difference. Conclusion The effect of CT simulation endoscopy combined with multiplanar reconstruction is remarkable.

关 键 词：肠梗阻 证候 分型 CT仿真内镜 多平面重建技术 

分 类 号：R259[医药卫生—中西医结合]