多排螺旋计算机断层成像技术小肠造影对小肠疾病的诊断价值

Value of multi-slice computer tomography enterography in the diagnosis of small intestinal diseases

目的评价多排螺旋计算机断层成像技术小肠造影(MSCTE)对诊断小肠疾病的诊断价值。方法 98例疑为小肠病变的患者行 MSCTE 检查,观察受试者对 MSCTE 的耐受性以及有无并发症,观察分析不同病变的 MSCTE 表现,并以手术病理结果或小肠插管造影、内镜和(或)活检病理的综合诊断结果为金标准来判断 MSCTE 对小肠病变的诊断价值。结果所有受试者均顺利完成 MSCTE,未发现并发症。其中2例为小肠插管造影失败而改行 MSCTE。MSCTE 诊断小肠病变总的灵敏度为96.5%(83/86),MSCTE 结果与最后临床诊断符合率为90.8%(89/98)。结论 MSCTE 是一种简便易行、能多方位、全景式显示小肠的方法,对多种小肠疾病有较高的诊断价值。

Objective To assess the value of multi-slice computer tomography enterography （MSCTE） in demonstrating small intestinal diseases. Methods MSCTE was performed with iso-osmotic manitol （2. 5% ） as oral contrast in 98 patients with various kinds of suspected small intestinal diseases. All patients were interviewed about their tolerance of the procedure. Demonstration of features of various kinds of small intestinal diseases was analyzed. MSCTE diagnosis of different small intestinal diseases were compared with the final clinical diagnosis. Resets The procedure was acceptable by all patients and no obvious complication was found. MSCTE was performed for 2 patients because of the failure of conventional small bowel enteroclysis. CT features of many kinds of diseases such as tumors, Crohn＇s disease were clearly displayed. The sensitivity of MSCTE was 96. 5% （83/86）, accuracy 90. 8% （89/98）. Conclusion MSCTE is a simple, rapid, noninvasive and effective method in evaluating small intestinal diseases.