老年人肠梗阻多层螺旋CT扫描探讨

The discussion of multi-slice spiral CT scan for elderly patients' intestinal obstruction

目的老年人肠梗阻是临床常见急症,具有发病急、病情重、发展快等特点,总结老年人肠梗阻早期全腹螺旋CT扫描的意义。方法回顾性分析三年来40例老年人肠梗阻早期行16层螺旋CT全腹扫描的影像表现,并与手术、病理结果对比,参阅文献资料。结果 40例老年人肠梗阻中,32例手术证实为结直肠癌,占80%。6例手术未发现肿物,为麻痹性肠梗阻。2例为肠外肿物(平滑肌肉瘤)压迫肠腔所至。结论老年人急腹症临床考虑肠梗阻时,建议及早行全腹多层螺旋CT扫描,提高诊断,及早手术。

Objective the elderly patients with intestinal infarction is a common clinical emergency of acute,severe and rapid development features.To summary the significance of spiral CT scan of the whole abdominal in the elderly with early intestinal obstruction.Methods To retrospective analysis imaging representation of 16-slice spiral CT scan of the whole abdominal for 40 elderly patients with early intestinal obstruction in recent three years,compare with the surgical and pathological results and refer to the literature.Results 32 elderly patients with intestinal obstruction were confirmed by surgery to be colorectal cancer（accounting for 80%）,6 patients found no tumor but paralytic ileus and 2 cases of intestine being oppressed by extra-intestinal tumor（leiomyosarcoma） in 40cases.Conclusion multi-slice spiral CT scan of the whole abdominal applied early was suggested when encountering acute abdomen of elderly patients considered intestinal obstruction to improve diagnosis and be operated in time.