MSCT检查在胆肠瘘的诊断价值  

Diagnostic value of MSCT examination in biliary enteric fistula

作　　者：孔倩倩[1] 张礼荣[1] 马聪[1] 陈芸[1] 田军 KONG Qianqian;ZHANG Lirong;MA Cong;CHEN Yun;TIAN Jun(Department of Medical Imaging, The Affiliated Hospital of Jiangsu University, Zhenjiang 212001, P.R.China;Department of Medical Imaging Radiology, Shandong Provicial Hospital Affiliated to Shandong First Medical University, Jinan 250021,P.R.China)

机构地区：[1]江苏大学附属医院影像科,江苏镇江212001 [2]山东第一医科大学附属省立医院医学影像科,山东济南250021

出　　处：《医学影像学杂志》2021年第12期2071-2073,共3页Journal of Medical Imaging

摘　　要：目的探讨影像学检查对胆肠瘘的诊断价值。方法选取经临床及手术证实的11例胆肠瘘的CT、MRCP及上消化道造影影像学病例,分析其影像学表现。结果11例胆肠瘘患者中5例可直接显示瘘口,呈管状、细条状等。9例显示胆囊萎缩、壁增厚伴胆囊内积气,周围组织粘连。4例伴胆石性肠梗阻,其中1例肠内有2枚异位结石。7例显示肝内胆管积气。结论掌握胆肠瘘的直接和间接影像学表现,可减少漏诊及误诊率。CT在显示胆石性肠梗阻方面有其独特优势。Objective To study the value of imaging examination in the diagnosis of biliary enteric fistula.Methods The image findings of 11 patients with biliary enteric fistula proved by clinical and operation were reviewed retrospectively.Results 5 of the 11 patients with biliary enteric fistula could directly showed the fistula,which were tubular and thin strip.9 cases showed gallbladder atrophy,with wall thickening and pneumatosis,adhering with surrounding tissues.There were 4 cases with gallstone ileus,including 1 case with 2 ectopic stones.7 cases showed pneumatosis of intrahepatic bile duct.Conclusion To master the direct and indirect imaging manifestation of biliary enteric fistula can reduce the rate of missed diagnosis and misdiagnosis.CT has its unique advantage in displaying gallstone ileus.

关 键 词：胆肠瘘 胆石性肠梗阻 体层摄影术 X线计算机 

分 类 号：R575.6[医药卫生—消化系统] R814.42[医药卫生—内科学]