摘要
目的:探讨多层螺旋CT(MSCT)对肠梗阻的诊断价值。方法:对53例肠梗阻患者的X线平片和MSCT表现进行分析,其中44例行手术治疗,9例行保守治疗。结果:X线平片和MSCT准确显示肠梗阻的病例分别为84.9%和100%。44例手术治疗患者中,38例手术结果与MSCT表现相符,包括:肠道肿瘤15例,粘连性肠梗阻15例,肠扭转4例,肠系膜血管栓塞2例,胆石性肠梗阻3例,粪石性肠梗阻2例,脐疝2例,回盲部憩室炎1例。结论:对肠梗阻的诊断MSCT明显优于X线平片,其对肠梗阻的程度、部位和梗阻原因判断和病变区血供情况的了解有重要意义。
Objective： To study the value of multi-slice spiral computed tomography （MSCT） in the diagnosis of patients with suspected intestinal obstruction. Methods： The plain abdominal radiography and MSCT in 53 cases with intestinal obstruction were analyzed. Surgical operations were done in 44 cases, conservative treatment in 9 cases. Results： The plain abdominal radiography and MSCT made correct diagnosis in 84.9% and 100% respectively. MSCT manifestation and surgical findings were consistent in 38 of 44 cases, including 15 intestinal masses, 15 adhesions, 4 bowel torsion, 2 mesentefic vessel thrombosis, 3 gallstone, 2 fecal obstruction, 2 hernias, 1 ileoceeal diverticulitis. Conclusion： As to detect intestinal obstruction,MSCT is superior to plain abdominal radiography. It is important to identify the site, level and cause of obstruction, and show the blood supply of the bowel.
出处
《中国临床医学影像杂志》
CAS
北大核心
2005年第8期433-435,447,共4页
Journal of China Clinic Medical Imaging
关键词
肠梗阻
体层摄影术
X线计算机
intestinal obstruction tomography X-ray computed
