螺旋CT对消化道梗阻的诊断价值

Diagnostic Value of Spiral Computed Tomography in Digestive Obstruction

目的:探讨螺旋CT对消化道梗阻的诊断价值。方法:回顾性分析12例临床怀疑为消化道梗阻病例的螺旋CT检查结果并将其中螺旋CT确诊为消化道梗阻病例与临床结果对照,图像重建方法主要为多平面重建法(MPR)和最大密度投影法(MIP)。结果:12例患者,阴性2例,阳性10例,其中9例经手术病理证实,1例经临床确诊。9例手术病例CT诊断梗阻部位与手术对照符合率为100%(9/9),病因诊断符合率为88.9%(8/9)。结论:螺旋CT扫描及重建对消化道梗阻具有重要诊断价值。

Objective： To discuss the diagnostic value of spiral computed tomography（CT） in digestive obstruction. Methods： Twelve cases suspected of digestive obstruction underwent MDCT. Nine of them were subsquenfly surgically proved and the diagnostic results of MDCT were compared with the surgical and pathological findings. The main reconstraction method included multi-planar reconstruction（MPR） and maximum intensity projection（MIP）. Results： Among 12 cases, 9 were subsquenfly surgically proved. To comparing with the results of surgery, the localization diagnosis was correct in 9 patients（100%） and the pathogenic diagnosis was correct in 8 patients（88.9%）. Conclusion： Spiral CT has an important value in detecting digestive obstruction.