多排螺旋CT在肠梗阻诊断中的意义

Significance of multislice spiral CT in ileus diagnosis

目的探讨CT在肠梗阻诊断中的意义。方法回顾性总结经临床和手术证实为肠梗阻,CT和立位腹平片资料齐全的病例,把CT所见与立位腹平片、手术结果对照。结果 62例中诊断均有不同程度的肠梗阻,手术证实CT诊断部位明确为62例,病因明确56例,包括结肠肿瘤19例,肠粘连29例,肠扭转3例,粪石6例,十二指肠良性肿瘤1例,肠系膜静脉血栓1例,克罗恩降结肠1例,股疝1例,胰腺囊肿1例。与手术结果对照,符合率分别为100%和90%。结论多排螺旋CT对肠梗阻的病因、部位的诊断具有重要意义,有助于及时有效的治疗,可作为肠梗阻的首选检查方法。

Objective Toevaluate the value of multidetecter computed tomography (MDCT) in the diagnosis of intestinal obstruction.Methods MDCT and surgical findings in 62 cases with mechanical bowel obstruction were retrospectively analyzed.The thin slice axial image and MPR image were also analysed.Results CT manifestation and surgical findings were consistent in 62 including colon cancer(19)adhesions(29) bowel torsion(3) bowel thiasis(6)duodenal benign neoplasm(1) superior mesenteric venous thrombosis (1)Crohn's disease(1)femoral hernia (1) pancreatic pseudocyst (1).Conclusion As MDCT can identify the site level and cause of obstruction and show the blood supply of the bowel it should be suggested as the first choice in diagnosis of bowel obstruction.