30例肠梗阻的CT结果分析

Diagnosis of 30 ileus with CT

目的探讨肠梗阻的CT表现及诊断价值。方法对30例经手术及临床治疗证实的肠梗阻病人的CT检查表现进行分析。结果30例病人术前CT诊断正确29例(96.7%),误诊1例(3.3%);其中小肠低位梗阻22例,小肠高位梗阻1例,结肠梗阻7例;在CT检查后均能明确梗阻点及病因,其中肠道肿瘤5例,粘连13例,肠扭转7例,肠套叠3例,麻痹性肠梗阻2例。结论CT在肠梗阻病人的诊断中,能基本明确梗阻点,同时对发现病因、并发症等也具有重要的临床价值。

Objective To assess the value of CT scanning on ileus. Methods 30 patients with ilues confimed by surgery were retrospectively study. Result There were 22 cases with low small intestine obstruction, 1 case with high intestinal obstruction and 7 case of colonic obstruction. 29 case （96.7% ） were correctly diagnosed with CT scanning and surgery. 1 case （3.3%） was wrongly diagnosed. Conclusions CT scanning could clearly determine the obstruction locations of ileus and is superior to regular X-ray on revealing the etilolgic factors and complications.