多层螺旋CT口服法小肠造影对小肠病变的诊断价值  

Value of Oral Enterography with Multi-Slice Spiral CT in the Diagnosis of Small Intestinal Lesions

作　　者：彭家春 朱静娜 PENG Jia-chun;ZHU Jing-na(Dongguan Third Bureau Hospital,Guangdong Dongguan 523710)

机构地区：[1]东莞三局医院,广东东莞523710

出　　处：《深圳中西医结合杂志》2021年第19期98-100,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:分析对小肠病变患者采取多层螺旋计算机断层扫描(CT)口服法小肠造影的诊断价值。方法:选取2018年4月至2020年1月期间东莞三局医院收治的76例疑似小肠病变患者为研究对象,对所有患者采取多层螺旋CT口服法小肠造影检查。观察患者口服泛影葡胺对比剂后的不适症状发生情况;分析患者检查的影像资料和临床数据,比较此法与常规胃肠内镜检查结果的定性正确率和定位正确率。结果:除2例出现轻微的恶心现象,所有患者均未出现显著的不适症状。多层螺旋CT的定位正确率为89.5%,显著高于胃肠内镜检查的75.0%;多层螺旋CT的定性正确率为63.2%,低于胃肠内镜检查的78.9%,差异均具有统计学意义(P<0.05)。结论:小肠疾病患者利用多层螺旋CT口服法进行小肠造影检查,能有效提高小肠疾病的定位正确率,且副作用小。Objective To analyze the diagnostic value of multi-slice spiral computed tomography(CT)oral enterography in patients with small intestinal lesions.Methods 76 patients with suspected small bowel lesions treated in Dongguan Third Bureau Hospital from April 2018 to January 2020 were selected as the research objects.All patients were examined by oral multislice spiral CT enterography.To observe the occurrence of discomfort symptoms after oral meglumine diatrizoate contrast agent;The imaging data and clinical data of patients were analyzed,and the qualitative accuracy and localization accuracy of this method and routine gastrointestinal endoscopy were compared.Results Except 2 cases with slight nausea,all patients did not have significant discomfort symptoms.The localization accuracy of multi-slice spiral CT was 89.5%,which was significantly higher than 75.0%of gastrointestinal endoscopy;The qualitative accuracy of multi-slice spiral CT was 63.2%,which was lower than 78.9%of gastrointestinal endoscopy(P<0.05).Conclusion Applying multi-slice spiral CT oral enterography in patients with small bowel diseases can effectively improve the localization accuracy of small bowel diseases with less side effects.

关 键 词：小肠病变 多层螺旋计算机断层扫描 小肠造影 

分 类 号：R574.5[医药卫生—消化系统] R814.43[医药卫生—内科学]