多排螺旋CT平扫分析成年肠套叠患者疾病类型、发病原因及临床表现  

Through Multi-slice Spiral CT Flat-screen To Analyse the Disease Type,Pathogenesis and Clinical Manifestation of the Adult Intussusception Patients

作　　者：冯悦铭 范红燕[1] 原士超 FENG Yue-ming;FAN Hong-yan;YUAN Shi-chao(CT Room of Jiaozuo Citys'2nd People's Hospital,Henan 454000)

机构地区：[1]河南省焦作市第二人民医院CT室,河南焦作454000

出　　处：《中国肛肠病杂志》2020年第7期21-23,共3页Chinese Journal of Coloproctology

摘　　要：通过多排螺旋CT平扫分析成年肠套叠患者疾病类型、发病原因及临床表现,选取2018年6月至2019年10月我院收治的80例成年肠套叠患者,对其进行多排螺旋CT平扫。观察患者疾病类型、发病原因及临床表现。结果显示,80例患者中顺行性肠套叠75例,5例为逆行性肠套叠。其中回肠-结肠型40例(50.00%),结肠-结肠型17例(21.25%)、小肠-小肠型18例(22.50%)、结肠-直肠型5例(6.25%)。发病多数与肿瘤有关,占88.75%;累及结肠病例共5例(6.25%),恶性肿瘤发病率较高;发病于小肠患者4例(5.00%)多数为良性病变。患者均有分层鞘状软组织影表现,其中直接征象:"靶征"、"腊肠征"、"肾形"、不规则团块及伴血管卷入征和脂肪征、肠内肠。间接征象:肠壁水肿增厚、不全肠梗阻、腹腔积液、肠壁积气。结果表明,多排螺旋CT平扫对成年肠套叠定性定位的诊断较为准确,能明确其类型及病因,发现原发病变,对后期临床诊治具有重要参考价值。To analyse the disease type,pathogenesis and clinical manifestation of adult intussusception patients(AIP),this study enrolled 80 AIP treated in authors’ hospital(2018-06-2019-10)and took multislice spiral CT flat-screen on the patients to observe their condition type,pathogenesis and clinical manifestation.As results,in the 80 patients,75 cases were of anterograde intussusception,5 of retrograde one,including 40 cases being of ileum-colon type(50.00%),colon-colon type being in another17 cases(21.25%),small intestine-small intestine type in 18 cases(22.50%),and colon-rectum type in 5 cases(6.25%);the most(88.75%)of pathogenesis were related to tumor:5 cases were involved in colon,their malignant onset rate were higher;4 cases’ pathogenesis from small intestine(5.00%),but most being benign lesion;all of the patients showed stratified ensheatthing soft tissue image including direct signs ":target sign" ", botuliform sign" ", kidney shaped",irregular mass and associated with sign of trapped blood vessels and fatty sign,as well intestine-in-intestine;indirect signs:parietal edema thicking,discomplete intestinal obstruction,pyoperitoneum,and pneumatosis intestinalis.Results show that through multi-slice spiral CT flat-screen to qualitatively and localizing diagnose AIP is more accuracy with clearing its type and pathogenesis,discovering primary lesion,thus has important reference value to late clinical diagnosis.

关 键 词：成年肠套叠 多排螺旋CT 疾病类型 发病原因 临床表现 

分 类 号：R574.3[医药卫生—消化系统] R816.5[医药卫生—内科学]