螺旋CT对肠梗阻并发肠缺血的诊断  

Spiral CT Diagnosis of Intestinal Obstruction Complicated by Intestinal Ischemia

作　　者：陈文瑞[1] 陈茂恩[1] 游剑雄[1] 李昌利 Chen Wenrui(Zhanjiang Central People’s Hospital,Zhanjiang Guangdong 524000)

机构地区：[1]湛江中心人民医院放射科,广东湛江524000

出　　处：《黑龙江医药》2019年第1期187-188,共2页Heilongjiang Medicine journal

摘　　要：目的:探讨肠梗阻并发肠缺血的螺旋CT特征。方法:搜集我院2015年1月-2018年1月手术或CTA(CT血管造影)等方法确诊为肠梗阻并发肠缺血的25例患者资料,回顾性分析其CT影像征象。结果:肠梗阻并发肠缺血的CT特征主要有以下几点:肠壁水肿增厚;肠系膜脂肪间隙积液;腹腔积液;肠壁强化不均匀;肠系膜含气征。结论:螺旋CT在肠梗阻并发肠缺血的诊断上具有特征性表现。Objective:To study the spiral CT features of intestinal obstruction complicated with intestinal ischemia. Methods:twenty-five patients with intestinal obstruction complicated with intestinal ischemia diagnosed by operation or CTA from January 2015 to January 2018 in our hospital were analyzed retrospectively. Results:CT features of intestinal obstruction complicated with intestinal ischemia were as follows: edema and thickening of intestinal wall;Mesenteric fat interstitial effusion;Ascites;Non-uniform enhancement of intestinal wall;Mesenteric air sign. Conclusion:spiral CT is characteristic in the diagnosis of intestinal obstruction complicated with intestinal ischemia.

关 键 词：肠梗阻并发肠缺血 螺旋CT 诊断 

分 类 号：R445[医药卫生—影像医学与核医学] R574.2[医药卫生—诊断学]