多层螺旋增强CT对轻度消化道出血性疾病的诊断价值  

Clinical Value of Multi-slice Spiral Enhanced CT in Diagnosing Mild Digestive Tract Hemorrhage

作　　者：温晓玲[1] 王丽[2] 宋晓琴[2] 张志[2] 朱晓芳 吴少平[2] WEN Xiaoling;WANG Li;SONG Xiaoqin;ZHANG Zhi;ZHU Xiaofang;WU Shaoping(Department of Radiology,Fourth Hospital of West China,Sichuan University,Chengdu 610041,China;Department of Radiology,the First Affiliated Hospital of Chengdu Medical College,Chengdu 610500,China)

机构地区：[1]四川大学华西第四医院放射科,成都610041 [2]成都医学院第一附属医院放射科,成都610500

出　　处：《中国医学科学院学报》2018年第2期139-145,共7页Acta Academiae Medicinae Sinicae

基　　金：成都医学院第一附属医院独立资助基金(CYFY11DL-001)~~

摘　　要：目的探讨多层螺旋增强CT在轻度消化道出血疾病中的临床价值。方法对35例轻度消化道出血患者行多层螺旋CT增强扫描,观察增强多层螺旋CT异常征象,并与病理检查结果对比。结果 35例患者中,胃、十二指肠溃疡及炎症4例(11.4%),食管胃底静脉曲张破裂7例(20.0%),胃癌3例(8.6%),胃间质瘤3例(8.6%),胃息肉1例(2.9%),结肠恶性肿瘤5例(14.2%),小肠间质瘤6例(17.1%),直肠癌2例(5.7%),肠道Crohn病3例(8.6%),空肠憩室合并出血1例(2.9%),均经消化道内镜、手术病理证实,CT检出病变部位准确率为100%,CT诊断符合率为97.1%。结论多层螺旋增强CT在轻度消化道出血诊断中有着良好的临床应用前景,对轻度消化道出血的定位、定性诊断和指导临床制定治疗方案均具有重要价值。Objective To investigate the clinical value of multi-slice spiral CT(MSCT)in the diagnosis of mild digestive tract hemorrhage.Methods Thirty-five patients with mild gastrointestinal hemorrhage were examined by enhanced MSCT.CT signs were observed and compared with pathologic examination findings.Results Diseases in these 35 patients included gastric and duodenal ulcer and inflammation(n=4,11.4%),esophagogastric variceal rupture(n=7,20.0%),gastric carcinoma(n=3,8.6%),gastric stromal tumor(n=3,8.6%),gastric polyp(n=1,2.9%),colonic malignancy(n=5,14.2%),small intestinal stromal tumor(n=6,17.1%),rectal cancer(n=2,5.7%),intestinal Crohn disease(n=3,8.6%),and jejunum diverticulum combined with hemorrhage(n=1,2.9%).All of them were diagnosed by endoscopy of the digestive tract and confirmed by operation and pathology.The accuracy rate of CT was 100%.The coincidence rate of CT diagnosis was 97.1%.Conclusion MSCT is a promising technique in the localization,qualitative diagnosis,and clinical treatment of mild gastrointestinal hemorrhage.

关 键 词：多层螺旋CT 消化道出血 诊断价值 

分 类 号：R445.3[医药卫生—影像医学与核医学] R445.4[医药卫生—诊断学]