多层螺旋增强CT结合血管重建技术对肠及肠系膜损伤的诊断价值  

Diagnostic value of multi-slice spiral enhanced CT combined with vascular reconstruction technology for bowel and/or mesenteric injuries

作　　者：沈博[1] 周玮[1] 韩书文 何剑[1] 陆崴 徐书峰 董雪 孙继红[3] SHEN Bo;ZHOU Wei;HAN Shuwen;HE Jian;LU Wei;XU Shufeng;DONG Xue;SUN Jihong(Department of Radiology,Huzhou Central Hospital in Zhejiang Province,Affiliated Huzhou Hospital,Zhejiang University School of Medicine,Affiliated Central Hospital of Huzhou University,Huzhou313000,China;Department of Radiology,Ningbo Huamei Hospital,University of Chinese Academy of Sciences,Ningbo315010,China;Department of Radiology,Sir Run Run Shaw Hospital Affiliated to Zhejiang University,Hangzhou 310016,China)

机构地区：[1]浙江省湖州市中心医院浙江大学湖州医院湖州师范学院附属中心医院放射科,浙江湖州313000 [2]中国科学院大学宁波华美医院放射科,浙江宁波315010 [3]浙江大学医学院附属邵逸夫医院放射科,浙江湖州310016

出　　处：《中国现代医生》2020年第35期112-115,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2019RC283)。

摘　　要：目的探讨多层螺旋增强CT结合血管重建技术对肠及肠系膜损伤的诊断价值。方法回顾性分析86例肠及肠系膜损伤(BMIs)患者的多层螺旋CT增强扫描及血管重建的影像特征,评价多层螺旋CT结合血管重建技术对肠及肠系膜损伤的诊断价值。结果在86例BMIs患者中,单纯小肠损伤共35例(40.7%);小肠合并肠系膜损伤21例(24.4%);单纯结肠损伤共15例(17.4%);结肠合并小肠损伤5例(5.8%);结肠合并肠系膜损伤3例(3.5%);单纯肠系膜损伤7例(8.2%)。多层螺旋CT增强扫描及血管重建的主要表现为小肠或结肠肠壁增厚,肠管连续性中断;肠系膜损伤,肠系膜血肿形成,造影剂外渗;腹腔、盆腔及腹膜后积液(血),腹腔内游离气体。结论肠及肠系膜损伤(BMIs)患者的MSCT增强及CTA影像表现具有特征性,对于BMIs诊断具有较高的临床价值。Objective To explore the diagnostic value of multi-slice spiral enhanced CT combined with vascular reconstruction technology for bowel and/or mesenteric injuries(BMIs).Methods The imaging features of multi-slice spiral enhanced CT scanning and vascular reconstruction of 86 patients with BMIs were analyzed retrospectively to evaluate the diagnostic value of multi-slice spiral CT combined with vascular reconstruction technology for BMIs.Results Among the 86 patients with BMIs,there were 35 cases(40.7%)solely with injuries of small intestine,21 cases(24.4%)with injuries of small intestine complicated with mesenteric injuries,15 cases(17.4%)solely with colon injuries,5 cases(5.8%)with colon injuries complicated with injuries of small intestine,3 cases(3.5%)with colon injuries complicated with,and 7 cases(8.2%)solely with mesenteric injuries.The main manifestations of multi-slice spiral enhanced CT scanning and vascular reconstruction are as follows:thickening of small intestine or colon wall and interruption of continuity of intestinal tube;mesenteric injuries,mesenteric hematoma formation and contrast agent extravasation;peritoneal cavity,pelvic cavity and retroperitoneal effusion(blood)and free gas in abdominal cavity.Conclusion MSCT enhancement and CTA imaging features of patients with BMIs are characteristic and have high clinical value for diagnosis of BMIs.

关 键 词：肠及肠系膜损伤 多层螺旋增强CT 血管重建技术 

分 类 号：R73[医药卫生—肿瘤] R81[医药卫生—临床医学]